Jetha Nina, Robinson Kerry, Wilkerson Tricia, Dubois Nancy, Turgeon Vincent, DesMeules Marie
Canadian Best Practices Initiative, Evidence and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada.
Can J Public Health. 2008 Sep-Oct;99(5):I1-8. doi: 10.1007/BF03405258.
Public health practitioners and policy-makers working to address the burden of chronic disease are increasingly seeking to use best practices given the need to make thoughtful program and policy choices with limited resources. While the evidence base in chronic disease prevention is growing through a number of different information sources, there is often a disconnect between the desire to use best practices and their implementation. This is related not only to individual and organizational barriers in terms of time and resources, but also to lack of agreement on what constitutes best practice and what sources of evidence are valid guides for practice. This is compounded by lack of user-friendly and streamlined access to credible best practice evidence and decision making/practice supports. In response to these needs, six years ago Canadian researchers, policy-makers and practitioners came together to begin working on creating a best practice system in Canada for health promotion and chronic disease prevention. This article presents an overview of the development of the Canadian Best Practices Portal and in particular how an evolution in thinking about best practice methodology and evidence will contribute to an enriched knowledge base for health promotion and chronic disease prevention policy, practice and research.
鉴于需要在资源有限的情况下做出周全的项目和政策选择,致力于应对慢性病负担的公共卫生从业者和政策制定者越来越多地寻求采用最佳实践方法。虽然通过多种不同信息来源,慢性病预防的证据基础在不断扩大,但在采用最佳实践方法的意愿与其实施之间往往存在脱节。这不仅与时间和资源方面的个人及组织障碍有关,还与对于何为最佳实践以及哪些证据来源可作为有效实践指南缺乏共识有关。此外,获取可靠的最佳实践证据以及决策/实践支持缺乏用户友好且简化的途径,这使得问题更加复杂。为满足这些需求,六年前加拿大的研究人员、政策制定者和从业者齐聚一堂,开始致力于在加拿大创建一个促进健康和预防慢性病的最佳实践系统。本文概述了加拿大最佳实践门户网站的发展情况,特别是最佳实践方法和证据观念的演变将如何为促进健康和预防慢性病的政策、实践及研究丰富知识库。