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首页> 外文期刊>Journal of public health management and practice: JPHMP >Strategic Planning for Chronic Disease Prevention in Rural America: Looking Through a PRISM Lens
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Strategic Planning for Chronic Disease Prevention in Rural America: Looking Through a PRISM Lens

机译：美国农村地区慢性病预防战略规划：通过棱镜观察

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Context: Community-level strategic planning for chronic disease prevention. Objective: To share the outcomes of the strategic planning process used by Mississippi Delta stakeholders to prevent and reduce the negative impacts of chronic disease in their communities. A key component of strategic planning was participants' use of the Prevention Impacts Simulation Model (PRISM) to project the reduction, compared with the status quo, in deaths and costs from implementing interventions in Mississippi Delta communities. Design: Participants in Mississippi Delta strategic planning meetings used PRISM, a user-friendly, evidence-based simulation tool that includes 22 categories of policy, systems, and environmental change interventions, to pose what-if questions that explore the likely short-and long-term effects of an intervention or any desired combination of the 22 categories of chronic disease intervention programs and policies captured in PRISM. These categories address smoking, air pollution, poor nutrition, and lack of physical activity. Strategic planning participants used PRISM outputs to inform their decisions and actions to implement interventions. Setting: Rural communities in the Mississippi Delta. Participants: A diverse group of 29 to 34 local chronic disease prevention stakeholders, known as the Mississippi Delta Strategic Alliance. Main Outcome Measure(s): Community plans and actions that were developed and implemented as a result of local strategic planning. Results: Existing strategic planning efforts were complemented by the use of PRISM. The Mississippi Delta Strategic Alliance decided to implement new interventions to improve air quality and transportation and to expand existing interventions to reduce tobacco use and increase access to healthy foods. They also collaborated with the Department of Transportation to raise awareness and use of the current transportation network. Conclusions: The Mississippi Delta Strategic Alliance strategic planning process was complemented by the use of PRISM as a tool for strategic planning, which led to the implementation of new and strengthened chronic disease prevention interventions and policies in the Mississippi Delta.
机译：背景：社区一级预防慢性病的战略规划。目标：共享密西西比三角洲利益相关者用来预防和减少慢性病对其社区的负面影响的战略规划过程的成果。战略计划的关键部分是参与者使用预防影响模拟模型（PRISM）来预测与现状相比，在密西西比三角洲社区实施干预措施所致的死亡和成本降低。设计：密西西比三角洲地区战略计划会议的参与者使用PRISM（一种方便用户，基于证据的模拟工具），其中包括22类政策，系统和环境变化干预措施，以提出假设问题，探讨可能的长期和短期问题。干预措施的长期效果或PRISM中捕获的22种慢性疾病干预计划和政策的任意组合。这些类别涉及吸烟，空气污染，营养不良和缺乏体育锻炼。战略计划参与者使用PRISM的输出来告知他们的决策和行动以实施干预措施。地点：密西西比三角洲的农村社区。参与者：由29到34个地方慢性病预防利益相关者组成的多元化团体，被称为密西西比三角洲战略联盟。主要成果指标：根据当地战略规划制定和实施的社区计划和行动。结果：使用PRISM可以补充现有的战略规划工作。密西西比三角洲战略联盟决定实施新的干预措施，以改善空气质量和运输，并扩大现有的干预措施，以减少烟草使用并增加获得健康食品的机会。他们还与运输部合作，以提高人们对当前运输网络的认识和使用。结论：密西西比三角洲战略联盟的战略规划过程通过使用PRISM作为战略规划的工具得到了补充，这导致在密西西比三角洲实施了新的和加强的慢性病预防干预措施和政策。

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