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首页> 外文期刊>The Milbank quarterly >Moving from intersection to integration: Public health law research and public health systems and services research
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Moving from intersection to integration: Public health law research and public health systems and services research

机译：从交叉到融合：公共卫生法研究以及公共卫生系统和服务研究

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Context: For three decades, experts have been stressing the importance of law to the effective operation of public health systems. Most recently, in a 2011 report, the Institute of Medicine recommended a review of state and local public health laws to ensure appropriate authority for public health agencies; adequate access to legal counsel for public health agencies; evaluations of the health effects and costs associated with legislation, regulations, and policies; and enhancement of research methods to assess the strength of evidence regarding the health effects of public policies. These recommendations, and the continued interest in law as a determinant of health system performance, speak to the need for integrating the emerging fields of Public Health Law Research (PHLR) and Public Health Systems and Services Research (PHSSR). Methods: Expert commentary. Findings: This article sets out a unified framework for the two fields and a shared research agenda built around three broad inquiries: (1) the structural role of law in shaping the organization, powers, prerogatives, duties, and limitations of public health agencies and thereby their functioning and ultimately their impact on public health ("infrastructure"); (2) the mechanisms through which public health system characteristics influence the implementation of interventional public health laws ("implementation") ; and (3) the individual and system characteristics that influence the ability of public health systems and their community partners to develop and secure enactment of legal initiatives to advance public health ("innovation") . Research to date has laid a foundation of evidence, but progress requires better and more accessible data, a new generation of researchers comfortable in both law and health research, and more rigorous methods. Conclusions: The routine integration of law as a salient factor in broader PHSSR studies of public health system functioning and health outcomes will enhance the usefulness of research in supporting practice and the long-term improvement of system performance.
机译：背景：三十年来，专家们一直在强调法律对公共卫生系统有效运作的重要性。最近，在2011年的一份报告中，医学研究所建议对州和地方公共卫生法进行审查，以确保公共卫生机构具有适当的权限;公共卫生机构有足够的法律顾问;评估与立法，法规和政策有关的健康影响和成本;加强研究方法以评估有关公共政策对健康的影响的证据。这些建议以及人们对法律作为健康系统绩效的决定者的持续兴趣，表明需要整合新兴的公共健康法研究（PHLR）和公共健康系统与服务研究（PHSSR）领域。方法：专家评论。调查结果：本文为这两个领域设定了一个统一的框架，并围绕三个广泛的研究提出了一个共同的研究议程：（1）法律在塑造公共卫生机构的组织，权力，特权，职责和局限性方面的结构性作用;以及因此，它们的功能以及最终对公共健康的影响（“基础设施”）; （2）公共卫生系统特征影响干预性公共卫生法的实施的机制（“实施”）; （3）影响公共卫生系统及其社区合作伙伴制定和确保制定法律措施以促进公共卫生（“创新”）的能力的个人和系统特征。迄今为止的研究已经奠定了证据的基础，但是要取得进步，就需要更好和更容易获得的数据，新一代在法律和卫生研究上都感到满意的研究人员以及更严格的方法。结论：在广泛的公共卫生系统功能和健康结果的PHSSR研究中，常规的法律整合是显着的因素，这将增强研究在支持实践和长期改善系统性能方面的有用性。

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