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首页> 外文期刊>Journal of public health management and practice: JPHMP >Diffusion of practice-based research in local public health: What differentiates adopters from nonadopters?
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Diffusion of practice-based research in local public health: What differentiates adopters from nonadopters?

机译：基于实践的研究在本地公共卫生领域的传播：领养者与非采纳者有何区别？

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Objective: To examine the level of involvement by local health departments (LHDs) in practice-based research (PBR) activities, and determine factors associated with variation in such involvement. Design: A total of 625 LHDs in a nationally representative stratified random sample of LHDs were administered questions about their participation in PBR activities along with the core instrument in the 2010 National Profile of Local Health Departments Study. Using the Profile data set, zero-inflated negative binomial regression is used to examine the relationships among the variables in the model. Main Outcome Measure: The dependent variable was a count variable about the number of PBR activities performed by LHDs. Results : About 62% of LHDs participated in at least one research activity. Participating in research activities was significantly associated with the following characteristics of LHDs: serving a population of 500 000 to 999 999, local governance, having a full-time top executive, having heard of the county health rankings, and having performed a Community Health Assessment in the last 5 years. Of LHDs performing at least one research activity, only LHD jurisdiction size predicted the number of research activities in which LHDs participated. Among these LHDs, the range in participation was from about 12% of research plans developed by LHDs to 37% collected data. Conclusions and Implications: Large public health agencies may be overrepresented, raising the risk that research results may not adequately address the needs, uncertainties, and innovations arising in smaller settings. Correcting this imbalance may require mechanisms for greater involvement of low-resource LHDs in PBR and expanded federal support for such activities through PBR networks.
机译：目的：研究地方卫生部门（LHD）对基于实践的研究（PBR）活动的参与程度，并确定与这种参与程度差异相关的因素。设计：在全国代表性的LHD分层分层随机样本中，总共625个LHD接受了有关其参与PBR活动的问题以及2010年国家地方卫生部门研究概况中的核心工具。使用Profile数据集，零膨胀负二项式回归用于检查模型中变量之间的关系。主要观察指标：因变量是关于LHD执行的PBR活动数量的计数变量。结果：大约62％的LHD参加了至少一项研究活动。参与研究活动与LHD的以下特征显着相关：服务于50万至999 999的人口，地方治理，拥有专职高级管理人员，听说过县卫生排名以及进行了社区健康评估在过去的五年中。在进行至少一项研究活动的LHD中，只有LHD管辖区的大小可以预测LHD参与的研究活动的数量。在这些LHD中，参与范围从LHD制定的研究计划的约12％到收集数据的37％。结论和启示：大型公共卫生机构可能人数过多，增加了风险，即研究结果可能无法充分满足较小环境中的需求，不确定性和创新。要纠正这种不平衡，可能需要建立机制，使低资源LHD更多地参与PBR，并通过PBR网络扩大联邦对此类活动的支持。

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