Bordeaux Population Health Research Center, UMR 1219, CIC-EC 1401, Université Bordeaux, Bordeaux, France.
Bordeaux Population Health Research Center, UMR 1219, CIC-EC 1401, Université Bordeaux, Bordeaux, France
J Epidemiol Community Health. 2019 Nov;73(11):990-992. doi: 10.1136/jech-2019-212225. Epub 2019 Jul 17.
Population health interventions (PHIs) are generally complex; their results depend on their interaction with the context of their implementation. Moreover, the distinction between intervention and context is arbitrary: we need rather to consider an 'interventional system', including both interventional and contextual components. Evaluation must go beyond effectiveness and must include two key research questions: a viability analysis, to verify that the intervention can be routinised in a real-life context; and a theory-based evaluation, to analyse mechanisms and to understand what produces effects among components and their interactions with each other and with the context. PHI research is a question not only of the object but also of perspectives. This means doing research differently, making use of interdisciplinarity and involving stakeholders. Such an approach may contribute to the development, transfer, implementation and scaling-up of innovative interventions.
人群健康干预（PHI）通常较为复杂；其结果取决于它们与实施背景的相互作用。此外，干预和背景之间的区别是任意的：我们需要考虑一个“干预系统”，包括干预和背景两个组成部分。评估必须超越效果，必须包括两个关键的研究问题：可行性分析，以验证干预措施是否可以在现实环境中常规化；以及基于理论的评估，以分析机制并了解组件之间以及它们与彼此和与背景的相互作用产生效果的原因。PHI 研究不仅是对象的问题，也是视角的问题。这意味着需要以不同的方式进行研究，利用跨学科性并让利益相关者参与其中。这种方法可能有助于创新干预措施的开发、转移、实施和推广。
