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首页> 外文期刊>Journal of public health management and practice: JPHMP >Information-seeking behaviors and other factors contributing to successful implementation of evidence-based practices in local health departments
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Information-seeking behaviors and other factors contributing to successful implementation of evidence-based practices in local health departments

机译：寻求信息的行为和其他因素有助于地方卫生部门成功实施循证实践

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The objective of this article was to describe factors that contribute to successful translation of science into evidence-based practices and their implementation in public health practice agencies, based on a review of the literature and evidence from a series of case studies. The case studies involved structured interviews with key informants in 4 health departments and with 4 corresponding partners from academic institutions. Interviews were recorded and transcribed, coded by 2 independent, trained coders, using a standard codebook. A thematic analysis of codes was conducted. Coding was entered into Atlas TI software for further analysis. Results from the literature review indicated that only approximately half of programs implemented in state and local health departments were evidence based. Lack of time, inadequate funding, and absence of cultural and managerial support-including incentives-are among the most commonly cited barriers to implementing evidence-based practices. Findings from the case studies suggest that these health departments, successful in implementing evidence-based practices, have strong relationships and good communication channels established with their academic partner(s). There is strong leadership engagement from within the health department and in the academic institution. Implementation of evidence-based programs was most often related to high priority community needs and the availability of resources to address these needs. The practice agencies operate with a culture of quality improvement throughout the agency. Information technology, training, how the interventions are bundled, including their complexity and ability to be customized and resource requirements are all fruitful avenues for further research.
机译：本文的目的是在回顾文献和一系列案例研究的基础上，描述有助于将科学成功转化为循证实践及其在公共卫生实践机构中实施的因素。案例研究涉及对四个卫生部门的关键信息提供者以及来自学术机构的四个相应合作伙伴进行的结构化访谈。使用标准密码簿记录和抄录访谈，并由2名经过培训的独立编码员进行编码。对代码进行了主题分析。将编码输入到Atlas TI软件中进行进一步分析。文献综述的结果表明，州和地方卫生部门实施的计划中只有大约一半是基于证据的。缺乏时间，资金不足以及缺乏文化和管理支持（包括激励措施）是实施循证实践的最常见障碍。从案例研究中发现，这些卫生部门成功地实施了循证实践，与他们的学术伙伴建立了牢固的关系并建立了良好的沟通渠道。卫生部门内部和学术机构都有强有力的领导参与。基于证据的计划的实施通常与高度优先的社区需求以及满足这些需求的资源的可用性有关。执业机构在整个机构中始终秉承质量改进的文化。信息技术，培训，干预措施如何捆绑在一起，包括其复杂性和定制能力以及资源需求，都是进一步研究的丰硕成果。

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