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A guide to scaling up population health interventions

机译：扩大人口卫生干预措施的指南

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The ‘how to’ of scaling up public health interventions for maximum reach and outcomes is receiving greater attention; however, there remains a paucity of practical tools to guide those actively involved in scaling up processes in high-income countries. To fill this gap, the New South Wales Ministry of Health developed Increasing the scale of population health interventions: a guide (2014). The guide was informed by a systematic review of scaling up models and methods, and a two-round Delphi process with a sample of senior policy makers, practitioners and researchers actively involved in scaling up processes. Although it is a practical guide to assist health policy makers, health practitioners and others responsible for scaling up effective population health interventions, it can also be used by researchers in the design of research studies that are potentially suitable for scaling up, particularly where research–practice collaborations are involved. The guide is divided into four steps: step 1, ‘scalability assessment’, aims to determine if an intervention is scalable; step 2, ‘developing a scale up plan’, aims to develop a practical and workable scaling up plan that can be used to convince stakeholders there is a compelling case for action. Step 3, ‘preparing for scale up’, aims to identify ways of securing resources needed for going to scale, operating at scale, and building a foundation of legitimacy and support to sustain the scaling up effort through the implementation stage; and step 4, ‘scaling up the intervention’, involves putting the plan developed in step 2 into place. Although the guide is written as though the user is starting from the point of assessing the scalability of an intervention, later steps can be used by those already involved in scaling up to review their implementation processes. The guide is not intended to be prescriptive. Its purpose is to help policy makers, practitioners, researchers and other decision makers decide on appropriate methodological and practical choices, and balance what is desirable with what is feasible.
机译：扩大公共卫生干预措施以实现最大范围和最大成果的“方法”正受到越来越多的关注;但是，仍然缺乏实用的工具来指导那些积极参与扩大高收入国家进程的人们。为填补这一空白，新南威尔士州卫生部制定了《扩大人口卫生干预措施的规模：指南》（2014年）。该指南的内容是系统地评估了扩展模型和方法，并进行了两轮Delphi流程，其中包括积极参与扩展流程的高级决策者，从业人员和研究人员的样本。尽管该指南是实用的指南，可协助卫生政策制定者，卫生从业人员及其他负责扩大有效人口健康干预措施的人员，但也可被研究人员用于设计可能适合扩大规模的研究研究，特别是在以下情况下：参与实践合作。该指南分为四个步骤：步骤1，“可扩展性评估”，旨在确定干预措施是否可扩展;步骤2，“制定扩大规模的计划”，旨在制定切实可行的扩大规模的计划，该计划可用于说服利益相关者采取令人信服的行动。第3步，“为扩大规模做准备”，旨在确定确保扩大规模，大规模运营所需资源的方式，并建立合法性和支持基础，以在整个实施阶段中维持扩大规模的工作;第4步，“扩大干预范围”，涉及将第2步中制定的计划付诸实施。尽管该指南的编写似乎是用户从评估干预的可扩展性的角度出发，但是已经参与扩大规模的人员可以使用后续步骤来查看其实施过程。本指南并非规定性的。其目的是帮助决策者，从业者，研究人员和其他决策者决定适当的方法和实践选择，并在期望与可行之间取得平衡。

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