Academic Collaborative Centre for Public Health Brabant, Tranzo, Faculty of Social Sciences, University of Tilburg, Tilburg, The Netherlands.
Eur J Public Health. 2012 Jun;22(3):337-42. doi: 10.1093/eurpub/ckr016. Epub 2011 Mar 12.
In the Netherlands, municipal health assessments are carried out by 28 Regional Health Services, serving 418 municipalities. In the absence of guidelines, regional public health reports were developed in two pilot regions on the basis of the model and experience of national health reporting. Though they were well received and positively evaluated, it was not clear which specific characteristics determined 'good public health reporting'. Therefore, this study was set up to develop a theoretical framework for the quality of regional public health reporting in The Netherlands.
Using concept mapping as a standardized tool for conceptualization, 35 relevant reporting experts formulated short statements in two different brainstorming sessions, describing specific quality criteria of regional public health reports. After the removal of duplicates, the list was supplemented with international criteria, and the statements were sent to each participant for rating and sorting. The results were processed statistically and represented graphically. The output was discussed and interpreted, leading to the final concept map.
The final concept map consisted of 97 criteria, grouped into 13 clusters, and plotted in two dimensions: a 'product' dimension, ranging from 'production' to 'content', and a 'context' dimension, ranging from 'science' to 'policy'. The three most important clusters were: (i) 'solution orientation', (ii) 'policy relevance' and (iii) 'policy impact'.
This study provided a theoretical framework for the quality of regional public health reporting, indicating relevant domains and criteria. Further work should translate domains and criteria into operational indicators for evaluating regional public health reports.
在荷兰，28 个地区卫生服务机构负责开展市级健康评估工作，为 418 个市提供服务。由于缺乏指导方针，两个试点地区在国家卫生报告模式和经验的基础上制定了地区公共卫生报告。尽管这些报告受到了欢迎并得到了积极评价，但不清楚哪些具体特征决定了“良好的公共卫生报告”。因此，本研究旨在为荷兰地区公共卫生报告的质量制定一个理论框架。
使用概念图作为概念化的标准化工具，35 名相关报告专家在两次头脑风暴会议中制定了简短的陈述，描述了地区公共卫生报告的具体质量标准。在删除重复项后，该清单补充了国际标准，并将陈述发送给每位参与者进行评分和排序。结果进行了统计处理和图形表示。对输出结果进行了讨论和解释，最终形成了概念图。
最终的概念图由 97 项标准组成，分为 13 个聚类，并在两个维度上进行了绘制：一个是“产品”维度，从“生产”到“内容”；另一个是“背景”维度，从“科学”到“政策”。三个最重要的聚类是：（i）“解决方案导向”，（ii）“政策相关性”和（iii）“政策影响”。
本研究为地区公共卫生报告的质量提供了一个理论框架，指出了相关领域和标准。进一步的工作应该将领域和标准转化为评估地区公共卫生报告的操作性指标。
