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首页> 美国卫生研究院文献>BioMed Research International >Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions
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Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

机译：推进在中国实施循证公共卫生：对发展中地区的现状评估和建议

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摘要

Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion.
机译：目的。现有研究表明，中国和其他发展中地区的EBPH实践严重匮乏；作为一项探索性研究，该研究旨在定性评估中国上海当前的EBPH实施状况。方法。通过半结构性关键知情人访谈，我们研究了中国落后的EBPH的现状和障碍。基于合并的实施研究框架（CFIR）对数据进行了分析。结果。中国公共卫生从业人员对循证医学了解更多，但对EBPH则了解较少。社区保健中心的情况更糟。与会者认为，证据来源有限，证据质量低下。关于内部设置因素，结构特征，网络和沟通，实施氛围和领导层参与面临许多问题。在外部因素中，关键的问题是政府的外部政策和激励措施以及患者依从性差。此外，上海的公共卫生从业人员对EBPH缺乏足够的认识。此外，当前基于项目的EBPH缺乏系统的实施系统。结论。现有的关于EBPH的实践观点表明，这种新意识形态在中国的宣传尚滞后。建议医疗机构主动探索可行的多种EBPH促进方法。

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