Willis Cameron, Kernoghan Alison, Riley Barbara, Popp Janice, Best Allan, Milward H Brinton
Propel Centre for Population Health Impact at the University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1. Email:
Propel Centre for Population Health Impact and the School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario.
Prev Chronic Dis. 2015 Nov 19;12:E199. doi: 10.5888/pcd12.150297.
We conducted a mixed methods study from June 2014 to March 2015 to assess the perspectives of stakeholders in networks that adopt a population approach for chronic disease prevention (CDP). The purpose of the study was to identify important and feasible outcome measures for monitoring network performance.
Participants from CDP networks in Canada completed an online concept mapping exercise, which was followed by interviews with network stakeholders to further understand the findings.
Nine concepts were considered important outcomes of CDP networks: enhanced learning, improved use of resources, enhanced or increased relationships, improved collaborative action, network cohesion, improved system outcomes, improved population health outcomes, improved practice and policy planning, and improved intersectoral engagement. Three themes emerged from participant interviews related to measurement of the identified concepts: the methodological difficulties in measuring network outcomes, the dynamic nature of network evolution and function and implications for outcome assessment, and the challenge of measuring multisectoral engagement in CDP networks.
Results from this study provide initial insights into concepts that can be used to describe the outcomes of networks for CDP and may offer foundations for strengthening network outcome-monitoring strategies and methodologies.
我们在2014年6月至2015年3月期间开展了一项混合方法研究,以评估采用人群方法进行慢性病预防(CDP)的网络中利益相关者的观点。该研究的目的是确定用于监测网络绩效的重要且可行的结果指标。
来自加拿大CDP网络的参与者完成了一项在线概念映射练习,随后对网络利益相关者进行访谈,以进一步了解研究结果。
九个概念被认为是CDP网络的重要成果:增强学习、改善资源利用、增强或增加关系、改善协作行动、网络凝聚力、改善系统成果、改善人群健康成果、改善实践和政策规划以及改善部门间参与。参与者访谈中出现了与所确定概念的测量相关的三个主题:测量网络结果的方法困难、网络演变和功能的动态性质及其对结果评估的影响,以及测量CDP网络中部门间参与的挑战。
本研究结果为可用于描述CDP网络结果的概念提供了初步见解,并可能为加强网络结果监测策略和方法奠定基础。