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澳大利亚预防伙伴关系中心:运用系统思维预防与生活方式相关的慢性病。

The Australian Prevention Partnership Centre: systems thinking to prevent lifestyle-related chronic illness.

作者信息

Wilson Andrew, Wutzke Sonia, Overs Marge

机构信息

The Australian Prevention Partnership Centre, Sydney, NSW, Australia.

The Australian Prevention Partnership Centre, Sydney, NSW, Australia

出版信息

Public Health Res Pract. 2014 Nov 28;25(1):e2511401. doi: 10.17061/phrp2511401.

Abstract

Chronic diseases are the major cause of death in Australia and the biggest contributor to premature death and disability. Although prevention of chronic disease can be effective and cost-effective, it has proven difficult to systematically implement interventions that target important lifestyle-related risk factors for chronic disease such as poor nutrition, physical inactivity and harmful alcohol use. Prevention efforts targeting these lifestyle-related risk factors have had mixed success due to issues around designing and implementing effective interventions that address the complexity of risk factors, and incorporating evidence and implementing interventions at a scale, duration, intensity and quality required to achieve population effects. There is increasing recognition that multilevel, multisector approaches are required for the effective and sustained prevention of complex chronic disease. The Australian Prevention Partnership Centre, one of two National Health and Medical Research Council Partnership Centres established in 2013, is researching and developing systems perspectives to prevent lifestyle-related chronic disease in Australia. The Centre's collaborative approach is providing opportunities for researchers to work with policy makers and practitioners to develop research questions, conduct research, and analyse, interpret and disseminate the findings. As such, it is the model of interaction that is being tested as much as the specific projects. With its funding partners, the Centre has developed plans for more than 30 projects. It has also established four capacity units that will improve the gathering, sharing and use of evidence to build a prevention system in Australia. The Centre is exploring new ways to advance prevention by bringing together researchers, policy makers and practitioners to determine the information and actions needed for an effective prevention system for Australia.

摘要

慢性病是澳大利亚的主要死因,也是过早死亡和残疾的最大原因。尽管慢性病的预防可以有效且具有成本效益,但事实证明,要系统地实施针对与生活方式相关的重要慢性病风险因素(如营养不良、缺乏身体活动和有害饮酒)的干预措施并非易事。针对这些与生活方式相关的风险因素的预防工作成效不一,原因在于设计和实施有效干预措施时存在诸多问题,这些问题涉及应对风险因素的复杂性,以及按照实现人群效果所需的规模、持续时间、强度和质量纳入证据并实施干预措施。人们越来越认识到,需要采取多层次、多部门的方法来有效且持续地预防复杂的慢性病。澳大利亚预防合作中心是2013年设立的两个国家卫生与医学研究委员会合作中心之一,正在研究和开发系统视角,以预防澳大利亚与生活方式相关的慢性病。该中心的合作方式为研究人员提供了与政策制定者和从业者合作的机会,共同制定研究问题、开展研究,并分析、解读和传播研究结果。因此,正在接受检验的不仅是具体项目,还有这种互动模式。该中心与其资助伙伴共同制定了30多个项目的计划。它还设立了四个能力单位,将改进证据的收集、共享和使用,以在澳大利亚建立一个预防体系。该中心正在探索新的方法来推进预防工作,召集研究人员、政策制定者和从业者,以确定澳大利亚有效预防体系所需的信息和行动。

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