引领公共卫生改善之路：探索《社区指南》的循证干预措施与卫生部门认证标准之间的联系。
Guiding the way to public health improvement: exploring the connections between The Community Guide's Evidence-Based Interventions and health department accreditation standards.
作者信息
Mercer Shawna L, Banks Starr M, Verma Pooja, Fisher Jessica Solomon, Corso Liza C, Carlson Valeria
机构信息
Community Guide Branch, Division of Epidemiology, Analysis, and Library Services (Proposed), Center for Surveillance, Epidemiology and Laboratory Services (Proposed), Office of Public Health Scientific Services (Proposed) (Dr Mercer and Ms Banks), and Division of Public Health Performance Improvement (Mss Corso and Carlson), Office for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention, Atlanta, Georgia; and Accreditation and Quality Improvement (Ms Verma) and Public Health Programs (Ms Fisher), National Association of County & City Health Officials, Washington, District of Columbia.
出版信息
J Public Health Manag Pract. 2014 Jan-Feb;20(1):104-10. doi: 10.1097/PHH.0b013e3182aa444c.
CONTEXT
Recent years have seen rising interest in initiatives that focus on public health improvement. This includes support for accreditation of public health departments-administered by the Public Health Accreditation Board (PHAB)-and increasing expectations that health departments should use evidence-based programs, services, and policies (interventions) such as those described in The Guide to Community Preventive Services (The Community Guide).
OBJECTIVE
This project was initiated to explore the potential connections between Community Guide interventions and PHAB domains, standards, and measures.
DESIGN
The project team focused on developing a Crosswalk tool to assist health departments in identifying evidence-based interventions from The Community Guide whose implementation could help document conformity with PHAB domains, standards, and measures. All Community Preventive Services Task Force-recommended interventions were reviewed to determine whether they reflect the intent and requirements of the PHAB standards and measures.
MAIN OUTCOME MEASURES
Three types of connections were defined through which Community Guide interventions could be relevant to the required documentation for a PHAB measure. All instances of these connections were identified and included in the Crosswalk.
RESULTS
The Crosswalk tool consists of 2 tables. The first table cross-references individual PHAB domains, standards, and measures with interventions from The Community Guide that could help provide documentation for accreditation. The second table can help accreditation preparation staff to engage with program staff. It is searchable by Community Guide topic, identifying the PHAB measures that relate to each Community Guide intervention within that topic. The type, location, and extent of connections between Community Guide interventions and PHAB domains, standards, and measures are presented and discussed.
CONCLUSIONS
Tools such as the Crosswalk can be instrumental in advancing the use of evidence-based interventions in public health practice.
背景
近年来，人们对致力于改善公共卫生的举措的兴趣日益浓厚。这包括对由公共卫生认证委员会（PHAB）管理的公共卫生部门认证的支持，以及对卫生部门应使用基于证据的项目、服务和政策（干预措施）的期望不断提高，例如《社区预防服务指南》（《社区指南》）中所述的那些。
目的
启动该项目以探索《社区指南》干预措施与PHAB领域、标准和措施之间的潜在联系。
设计
项目团队专注于开发一个交叉对照工具，以协助卫生部门从《社区指南》中识别基于证据的干预措施，其实施有助于证明符合PHAB领域、标准和措施。对所有社区预防服务任务组推荐的干预措施进行了审查，以确定它们是否反映了PHAB标准和措施的意图和要求。
主要结局指标
定义了三种类型的联系，通过这些联系，《社区指南》干预措施可能与PHAB措施的所需文件相关。确定了这些联系的所有实例并纳入交叉对照中。
结果
交叉对照工具由两张表组成。第一张表将PHAB的各个领域、标准和措施与《社区指南》中的干预措施进行交叉引用，这些干预措施有助于为认证提供文件。第二张表可帮助认证准备人员与项目人员互动。它可按《社区指南》主题进行搜索，识别该主题内与每个《社区指南》干预措施相关的PHAB措施。展示并讨论了《社区指南》干预措施与PHAB领域、标准和措施之间联系的类型、位置和程度。
结论
诸如交叉对照之类的工具有助于在公共卫生实践中推进基于证据的干预措施的使用。
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