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首页> 外文期刊>BMC Public Health >Can an electronic monitoring system capture implementation of health promotion programs? A focussed ethnographic exploration of the story behind program monitoring data
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Can an electronic monitoring system capture implementation of health promotion programs? A focussed ethnographic exploration of the story behind program monitoring data

机译：电子监控系统可以捕获健康促销计划的实施吗？一个专注的民族教学探索程序监测数据背后的故事

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BACKGROUND:There is a pressing need for policy makers to demonstrate progress made on investments in prevention, but few examples of monitoring systems capable of tracking population-level prevention policies and programs and their implementation. In New South Wales, Australia, the scale up of childhood obesity prevention programs to over 6000 childcare centres and primary schools is monitored via an electronic monitoring system, "PHIMS".METHODS:Via a focussed ethnography with all 14 health promotion implementation teams?in the state, we set out to explore what aspects of program implementation are captured via PHIMS, what aspects are not, and the implications for future IT implementation monitoring systems as a result.RESULTS:Practitioners perform a range of activities in the context of delivering obesity prevention programs, but only specific activities are captured via PHIMS. PHIMS thereby defines and standardises certain activities, while non-captured activities can be considered as "extra" work by practitioners. The achievement of implementation targets is influenced by multi-level contextual factors, with only some of the factors accounted for in PHIMS. This evidences incongruencies between work done, recorded and, therefore, recognised.CONCLUSIONS:While monitoring systems cannot and should not capture every aspect of implementation, better accounting for aspects of context and "extra" work involved in program implementation could help illuminate why implementation succeeds or fails. Failure to do so may result in policy makers drawing false conclusions about what is required to achieve implementation targets. Practitioners, as experts of context, are well placed to assist policy makers to develop accurate and meaningful implementation targets and approaches to monitoring.
机译：背景：政策制定者展示了对预防投资的进展，但少数能够跟踪人口水平预防政策和方案及其实施的监测系统的例子。在澳大利亚新的南威尔士州，通过电子监测系统“Phims”来监测儿童肥胖预防计划以超过6000名儿童保育中心和小学的规模.Methods：通过一个专注的民族志，所有14个健康促进实施团队？该州首先探讨了通过PHIMS捕获的计划实现的哪些方面，以及对未来IT实施监测系统的影响。结果：从业者在提供肥胖的背景下执行一系列活动预防计划，但仅通过PHIMS捕获特定活动。因此，Phims定义和标准的某些活动，而未捕获的活动可以被视为从业者视为“额外的”工作。实现目标的实现受到多层背景因素的影响，只有一些因素占PHIMS。这证明了工作所做的，记录和因此认识到.Conclusions：虽然监控系统不能且不应该捕获实施的各个方面，更好地占计划实施中所涉及的上下文的各个方面以及“额外的”工作可以帮助阐明实施成功的原因或失败。否则可能会导致政策制定者提出虚假结论，了解实现实施目标所需的内容。作为背景专家的从业者，良好的是协助决策者制定准确和有意义的实施目标和监测方法。

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