Riley Barbara L, Stachenko Sylvie, Wilson Elinor, Harvey Dexter, Cameron Roy, Farquharson Jane, Donovan Catherine, Taylor Gregory
Canadian Cancer Society's Centre for Behavioural Research and Program Evaluation, University of Waterloo, Lyle S. Hallman Institute North, Waterloo, ON N2L 3G1.
Can J Public Health. 2009 Jan-Feb;100(1):Suppl I20-6. doi: 10.1007/BF03405505.
The aim of the Population Health Intervention Research Initiative for Canada (PHIRIC) is to build capacity to increase the quantity, quality and use of population health intervention research. But what capacity is required, and how should capacity be created? There may be relevant lessons from the Canadian Heart Health Initiative (CHHI), a 20-year initiative (1986-2006) that was groundbreaking in its attempt to bring together researchers and public health leaders (from government and non-government organizations) to jointly plan, conduct and act on relevant evidence. The present study focused on what enabled and constrained the ability to fund, conduct and use science in the CHHI.
Guided by a provisional capacity-building framework, a two-step methodology was used: a CHHI document analysis followed by consultation with CHHI leaders to refine and confirm emerging findings.
A few well-positioned, visionary people conceived of the CHHI as a long-term, coherent initiative that would have impact, and they then created an environment to enable this to become reality. To achieve the vision, capacity was needed to a) align science (research and evaluation) with public health policy and program priorities, including the capacity to study "natural experiments" and b) build meaningful partnerships within and across sectors.
There is now an opportunity to apply lessons from the CHHI in planning PHIRIC.
加拿大人口健康干预研究倡议（PHIRIC）的目的是增强能力，以增加人口健康干预研究的数量、质量和应用。但需要何种能力，以及应如何培养这种能力？加拿大心脏健康倡议（CHHI，1986 - 2006年，为期20年）或许能提供相关经验教训，该倡议在试图将研究人员与公共卫生领域领导者（来自政府和非政府组织）汇聚一堂，共同规划、开展相关研究并依据证据采取行动方面具有开创性意义。本研究聚焦于在CHHI中，资助、开展和应用科学的能力受到哪些促进因素和制约因素的影响。
在一个临时的能力建设框架指导下，采用了两步法：首先对CHHI的文件进行分析，随后与CHHI的领导者进行磋商，以完善并确认新出现的研究结果。
一些处于有利位置且富有远见的人将CHHI构想为一项具有影响力的长期连贯倡议，随后他们营造了一种环境，使这一构想得以实现。为达成这一愿景，需要具备以下能力：a）使科学（研究与评估）与公共卫生政策及项目重点保持一致，包括研究“自然实验”的能力；b）在部门内部及部门之间建立有意义的伙伴关系。
现在有机会在规划PHIRIC时应用CHHI的经验教训。
