Trochim William M, Cabrera Derek A, Milstein Bobby, Gallagher Richard S, Leischow Scott J
Policy Analysis and Management, 249 MVR Hall, Cornell University, Ithaca, NY 14853, USA.
Am J Public Health. 2006 Mar;96(3):538-46. doi: 10.2105/AJPH.2005.066001. Epub 2006 Jan 31.
Awareness of and support for systems thinking and modeling in the public health field are growing, yet there are many practical challenges to implementation. We sought to identify and describe these challenges from the perspectives of practicing public health professionals.
A systems-based methodology, concept mapping, was used in a study of 133 participants from 2 systems-based public health initiatives (the Initiative for the Study and Implementation of Systems and the Syndemics Prevention Network). This method identified 100 key challenges to implementation of systems thinking and modeling in public health work.
The project resulted in a map identifying 8 categories of challenges and the dynamic interactions among them.
Implementation by public health professionals of the 8 simple rules we derived from the clusters in the map identified here will help to address challenges and improve the organization of systems that protect the public's health.
公共卫生领域对系统思维和建模的认识与支持正在不断增加，但在实施过程中存在许多实际挑战。我们试图从公共卫生专业人员的角度识别并描述这些挑战。
在一项针对来自两个基于系统的公共卫生倡议（系统研究与实施倡议和综合征预防网络）的133名参与者的研究中，使用了基于系统的方法——概念映射。该方法确定了公共卫生工作中实施系统思维和建模的100个关键挑战。
该项目生成了一张地图，识别出8类挑战以及它们之间的动态相互作用。
公共卫生专业人员实施我们从此处地图中的聚类得出的8条简单规则，将有助于应对挑战并改善保护公众健康的系统组织。
