Hawe Penelope, Potvin Louise
Population Health Intervention Research Centre, University of Calgary, G012, 3330 Hospital Drive NW, Calgary, AB T2N 4N1.
Can J Public Health. 2009 Jan-Feb;100(1):Suppl I8-14. doi: 10.1007/BF03405503.
Population-level health interventions are policies or programs that shift the distribution of health risk by addressing the underlying social, economic and environmental conditions. These interventions might be programs or policies designed and developed in the health sector, but they are more likely to be in sectors elsewhere, such as education, housing or employment. Population health intervention research attempts to capture the value and differential effect of these interventions, the processes by which they bring about change and the contexts within which they work best. In health research, unhelpful distinctions maintained in the past between research and evaluation have retarded the development of knowledge and led to patchy evidence about policies and programs. Myths about what can and cannot be achieved within community-level intervention research have similarly held the field back. The pathway forward integrates systematic inquiry approaches from a variety of disciplines.
人群层面的健康干预措施是指通过解决潜在的社会、经济和环境条件来改变健康风险分布的政策或项目。这些干预措施可能是卫生部门设计和制定的项目或政策,但更有可能存在于其他部门,如教育、住房或就业部门。人群健康干预研究试图获取这些干预措施的价值和差异效果、它们带来改变的过程以及它们发挥最佳作用的背景。在健康研究中,过去在研究与评估之间维持的无益区分阻碍了知识的发展,并导致了关于政策和项目的证据零散。关于社区层面干预研究中哪些能实现、哪些不能实现的错误观念同样阻碍了该领域的发展。前进的道路整合了来自各种学科的系统探究方法。