Zaza S, Lawrence R S, Mahan C S, Fullilove M, Fleming D, Isham G J, Pappaioanou M
Division of Prevention Research and Analytic Methods, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
Am J Prev Med. 2000 Jan;18(1 Suppl):27-34. doi: 10.1016/s0749-3797(99)00123-3.
The diverse nature of the target audience (i.e., public health decision-makers) for the Guide to Community Preventive Services: Systematic Reviews and Evidence-Based Recommendations (the Guide) dictates that it must be broad in scope. In addition, for the Guide to be most useful for its target audience, its organization and format must be carefully considered.
Healthy People objectives and actual causes of death were used to determine the contents of the Guide. A priority setting exercise resulted in the selection of 15 topics for systematic reviews using the following criteria: burden of the problem, preventability, relationship to other public health initiatives, usefulness of the package of topics selected and level of current research and intervention activity in public and private sectors. Interventions within each topic target state and local levels and include population-based strategies, individual strategies in other than clinical settings and group strategies.
The Guide is organized into: Introduction, Reviews and Recommendations (three sections: Changing Risk Behaviors, Reducing Diseases, Injuries, or Impairments, and Addressing Environmental and Ecosystem Challenges), Appendixes, and Indexes.
The scope and organization of the Guide were determined using relevant public health criteria and expert opinion to provide a useful and accessible document to a broad target audience. While the final contents of the Guide may change during development, the working table of contents described in this paper provides a framework for development of the Guide and conveys its scope and intention.
《社区预防服务指南:系统评价与循证建议》(以下简称《指南》)的目标受众(即公共卫生决策者)具有多样性,这决定了该指南必须具有广泛的涵盖范围。此外,为了使《指南》对其目标受众最有用,必须仔细考虑其组织架构和格式。
确定《指南》的范围:利用“健康人民”目标和实际死因来确定《指南》的内容。通过一次优先事项确定活动,依据以下标准选择了15个主题进行系统评价:问题负担、可预防性、与其他公共卫生举措的关系、所选主题组合的实用性以及公共和私营部门当前的研究和干预活动水平。每个主题下的干预措施针对州和地方层面,包括基于人群的策略、非临床环境中的个体策略以及群体策略。
《指南》的组织架构:《指南》分为:引言、评价与建议(三个部分:改变风险行为、减少疾病、伤害或损伤以及应对环境和生态系统挑战)、附录和索引。
《指南》的范围和组织架构是根据相关公共卫生标准和专家意见确定的,旨在为广泛的目标受众提供一份有用且便于获取的文件。虽然《指南》的最终内容在制定过程中可能会有所变化,但本文所述的工作目录为《指南》的制定提供了一个框架,并传达了其范围和意图。