Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Int J Health Policy Manag. 2021 Jun 1;10(6):343-346. doi: 10.34172/ijhpm.2020.120.
Advocates suggest that a paradigm shift in preventive health towards systems thinking is desirable and may be underway. In a recent study of policy-makers' opinions, Haynes and colleagues found a mixed response to an Australian initiative that sought to apply systems theories and associated methods to preventive health. Some were enthusiastic about systems, but others were concerned or unconvinced about its usefulness. This commentary responds to such concerns. We argue that a systems perspective can help provide policy-makers with timely evidence to inform decisions about intervention planning and delivery. We also suggest that research applying a systems perspective could provide policy-makers with evidence to support planning and incremental decision-making; make recommendations to support intervention adaptability; consider potential barriers due to incoherent systems, and consider the political consequences of interventions.
提倡者认为，预防医学向系统思维的范式转变是可取的，而且可能已经在进行中。在最近一项对政策制定者意见的研究中，Haynes 及其同事发现，对于澳大利亚的一项旨在将系统理论和相关方法应用于预防医学的倡议，人们的反应喜忧参半。一些人对系统持积极态度，但也有人对此表示担忧或怀疑其有用性。本评论回应了这些担忧。我们认为，系统观点可以帮助决策者提供及时的证据，以便就干预规划和实施做出决策。我们还建议，应用系统观点的研究可以为决策者提供证据，以支持规划和渐进式决策；提出建议以支持干预的适应性；考虑由于系统不连贯而产生的潜在障碍，并考虑干预的政治后果。
