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Capacity Building for and Implementation of Policy, Systems, and Environmental Change: Results from a Survey of the National Comprehensive Cancer Control Program

机译:政策,系统和环境变化的能力建设和实施:国家综合癌症控制计划的调查结果

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Policy, systems, and environmental (PSE) approaches are commonly used to improve population health. Cancer-related examples include providing data and education to stakeholders about policies that support healthy living, or health systems changes such as universal reminders about recommended cancer screening. The National Comprehensive Cancer Control Program (NCCCP) funds health departments to form cancer coalitions that develop and implement cancer plans. NCCCP initiated a demonstration program in 13 of 65 funded grantees to determine whether skilled, dedicated staffing and using a strategic process to examine data, form a workgroup, and develop an agenda would enhance their capacity to implement PSE approaches, recruit new partners, and provide data and education to stakeholders. The objective of this study was to compare demonstration program grantees to other NCCCP grantees on their ability to develop and implement PSE strategies, and the short-term results that were achieved. Program directors (PDs) from each NCCCP-funded jurisdiction completed web surveys at 2 time points during implementation to assess changes in their capacity for PSE approaches, identify implementation activities, and document short-term outcomes. Responses from demonstration program PDs and other PDs at both time points were compared in a descriptive analysis. Demonstration program grantees experienced greater increases in skills and capacity to address PSE approaches, engaged in necessary implementation activities more often, and achieved greater improvements in stakeholder and decision maker awareness and support for PSE strategies, compared to nonparticipating NCCCP grantees. These findings support continued implementation of PSE approaches for sustainable cancer prevention and control.
机译:政策,系统和环境(PSE)方法通常用于改善人口健康。与癌症有关的例子包括向有关支持健康生活的政策的利益相关者提供数据和教育,或者卫生系统更改,例如普遍提醒关于推荐的癌症筛查。全国综合癌症控制计划(NCCCP)资金卫生部门形成发展和实施癌症计划的癌症联盟。 NCCCP在65名资助的授权人中发起了一项示范计划,以确定是否熟练,专用的人员和使用战略流程来审查数据,形成工作组,并制定议程将加强其实施PSE方法,招聘新合作伙伴并提供的能力利益攸关方的数据和教育。本研究的目的是将示范计划受助者与其他NCCCP授权进行比较,就他们制定和实施PSE战略的能力以及实现的短期成果。从每个NCCCP资助的管辖权的计划董事(PDS)在实施期间完成了2个时间点的Web调查,以评估其PSE方法的能力变化,确定实施活动和文件短期成果。在描述性分析中比较了从演示程序PDS和其他时间点处的其他PDS的反应。示范计划受助者的技能和能力提高了解PSE方法,更频繁地从事必要的实施活动,并实现了与非公共支持NCCCP Bonseps相比对利益攸关方和决策者的意识和支持PSE战略的提高。这些调查结果支持继续执行可持续癌症预防和控制的PSE方法。

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