School of Health Studies, Arthur and Sonia Labatt Health Sciences Building, Rm. 222, London, Ontario, N6A 5B9, Canada.
Faculty of Information and Media Studies, The University of Western Ontario, FIMS & Nursing Building, Room 2050, London, ON, N6A 5B9, Canada.
Health Res Policy Syst. 2019 Jan 15;17(1):8. doi: 10.1186/s12961-018-0405-y.
The current scholarly focus on implementation science is meant to ensure that public health interventions are effectively embedded in their settings. Part of this conversation includes understanding how to support the sustainability of beneficial interventions so that limited resources are maximised, long-term public health outcomes are realised, community support is not lost, and ethical research standards are maintained. However, the concept of sustainability is confusing because of variations in terminology and a lack of agreed upon measurement frameworks, as well as methodological challenges. This commentary explores the challenges around the sustainability of public health interventions, with particular attention to definitions and frameworks like Normalization Process Theory and the Dynamic Sustainability Framework. We propose one important recommendation to direct attention to the sustainability of public health interventions, that is, the use of theoretically informed approaches to guide the design, development, implementation, evaluation and sustainability of public health interventions.
当前学术研究的重点是实施科学，旨在确保公共卫生干预措施能够在其实施环境中得到有效应用。这一讨论的一部分内容包括了解如何支持有益干预措施的可持续性，以实现资源的最大化利用、长期公共卫生效果的实现、社区支持的不丧失，以及伦理研究标准的维护。然而，可持续性的概念由于术语的变化以及缺乏一致的衡量框架以及方法学挑战而令人困惑。本评论探讨了公共卫生干预措施可持续性方面的挑战，特别关注像规范化进程理论和动态可持续性框架这样的定义和框架。我们提出了一个重要建议，即将注意力集中在公共卫生干预措施的可持续性上，即使用理论指导的方法来指导公共卫生干预措施的设计、开发、实施、评估和可持续性。
