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目的基于极为薄弱的循证理论和实证研究现实,本研究旨在构建推进中国公共卫生从业人员循证慢性病防治实践的理论先导模型。方法通过文献荟萃分析,系统梳理国际循证公共卫生和慢性病防控实践的前沿理论模型。结果覆盖-有效性-采取-执行和维持模型(RE-AIM模型)、创新扩散理论模型、实用、稳健的执行和可持续模型(PRISM模型)和Brownson的模型均侧重从循证开展过程和/或对应影响因素确立框架。Brownson模型作为慢性病防控领域的先驱指导模型,聚焦实践者角度探讨慢性病防控实践开展环节及对应影响因素。结论循证慢性病防控模型作为理论先导,能指导分析循证项目的应用及可能存在的影响因素,对于处于探索阶段的循证研究具有重要指导作用。未来仍需通过实践,论证充实和完善模型。
Purpose Based on the extremely weak evidence-based theory and the empirical research reality, this study aims to construct a theoretical pilot model to promote evidence-based chronic disease prevention and control practices among Chinese public health practitioners. Methods Through literature meta-analysis, we systematically comb the leading theoretical model of international evidence-based public health and chronic disease prevention and control practices. Results Coverage - Effectiveness - Take - Execution and Sustainability Models (RE-AIM Models), Innovative Diffusion Theory Models, Practical, Robust Execution and Sustainability Models (PRISM Models), and Brownson’s Models all focus on evidence-based processes and / Or the corresponding factors to establish the framework. Brownson model as a pioneer in the field of chronic disease prevention and control guidance model, focusing on practitioners to explore aspects of chronic disease prevention and control practices and the corresponding impact factors. Conclusion Evidence-based chronic disease prevention and control model as a theoretical guide can guide the analysis of the application of evidence-based programs and the possible influencing factors, which plays an important guiding role in the evidence-based research in the exploration stage. In the future, we still need to substantiate and perfect the model through practice and demonstration.