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石建伟, 肖月, 耿劲松, 于德华, 陆媛, 潘莹, 杨蓓蕾, 王朝昕. 循证慢性病防控实践理论模型解析及中国研究框架构建[J]. 中国公共卫生, 2017, 33(11): 1548-1551. DOI: 10.11847/zgggws2017-33-11-02
引用本文: 石建伟, 肖月, 耿劲松, 于德华, 陆媛, 潘莹, 杨蓓蕾, 王朝昕. 循证慢性病防控实践理论模型解析及中国研究框架构建[J]. 中国公共卫生, 2017, 33(11): 1548-1551. DOI: 10.11847/zgggws2017-33-11-02
SHI Jian-wei, XIAO Yue, GENG Jin-song.et al, . Analysis on theoretical framework of evidence-based chronic disease prevention (EBCDP) and establishment of EBCDP framework in China[J]. Chinese Journal of Public Health, 2017, 33(11): 1548-1551. DOI: 10.11847/zgggws2017-33-11-02
Citation: SHI Jian-wei, XIAO Yue, GENG Jin-song.et al, . Analysis on theoretical framework of evidence-based chronic disease prevention (EBCDP) and establishment of EBCDP framework in China[J]. Chinese Journal of Public Health, 2017, 33(11): 1548-1551. DOI: 10.11847/zgggws2017-33-11-02

循证慢性病防控实践理论模型解析及中国研究框架构建

Analysis on theoretical framework of evidence-based chronic disease prevention (EBCDP) and establishment of EBCDP framework in China

  • 摘要: 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。

     

    Abstract: Objective To establish a theoretical framework for evidence-based chronic disease prevention (EBCDP) for promoting EBCDP practice in public health practitioners in China.Methods We conducted literature review to systematically tease apart theoretical models proposed by international researches.Results All the models,including reach,effectiveness,adoption,implementation,and maintenance (RE-AIM) framework,diffusion of innovation theory,practical,robust implementation and sustainability model (PRISM),as well as Brownson's model,focus on the process and impact factors of the establishment of EBCDP framework.However,Brownson's model,as a forefront model,focuses on the process and impact factors of EBCDP from practitioners' point of view.Conclusion The theoretical framework of EBCDP plays an important role in promoting EBCDP practice and could be adopted to guide analyses on application and potential impact factors of evidence-based disease control projects.

     

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