Brownson Ross C, Chriqui Jamie F, Stamatakis Katherine A
Prevention Research Center in St Louis, the George Warren Brown School of Social Work, MO, USA.
Am J Public Health. 2009 Sep;99(9):1576-83. doi: 10.2105/AJPH.2008.156224. Epub 2009 Jul 16.
Public health policy has a profound impact on health status. Missing from the literature is a clear articulation of the definition of evidence-based policy and approaches to move the field forward. Policy-relevant evidence includes both quantitative (e.g., epidemiological) and qualitative information (e.g., narrative accounts). We describe 3 key domains of evidence-based policy: (1) process, to understand approaches to enhance the likelihood of policy adoption; (2) content, to identify specific policy elements that are likely to be effective; and (3) outcomes, to document the potential impact of policy. Actions to further evidence-based policy include preparing and communicating data more effectively, using existing analytic tools more effectively, conducting policy surveillance, and tracking outcomes with different types of evidence.
公共卫生政策对健康状况有着深远影响。文献中缺乏对循证政策的定义及推动该领域发展方法的清晰阐述。与政策相关的证据包括定量信息(如流行病学信息)和定性信息(如叙述性描述)。我们描述了循证政策的三个关键领域:(1)过程,以了解提高政策采纳可能性的方法;(2)内容,以确定可能有效的具体政策要素;(3)结果,以记录政策的潜在影响。推进循证政策的行动包括更有效地准备和传播数据、更有效地使用现有分析工具、进行政策监测以及用不同类型的证据跟踪结果。