School of Health and Social Care, University of Lincoln, Lincoln, UK.
School of Sport and Exercise Science, University of Lincoln, Lincoln, UK.
Perspect Public Health. 2024 Jul;144(4):222-231. doi: 10.1177/17579139221136726. Epub 2022 Nov 15.
Public health lifestyle databases at local authority level are currently poorly aligned across the UK. The integration of lifestyle databases at a regional level could provide a rich resource to support research and help inform public health leads and service commissioners in improving service delivery, facilitating decision-making and developing key public health policies. Prior to its implementation, the acceptability of an integrated lifestyle database should be explored. The aim of this study was to consult with public health stakeholders to explore the acceptability of developing and implementing a regional integrated lifestyle database across four key areas of public health: smoking cessation, diet, physical activity and alcohol consumption.
Qualitative interviews were conducted with public health stakeholders recruited from across the East Midlands region of England. All interviews were conducted using video conferencing software and recorded, transcribed, and analysed using the Framework approach. Sixteen public health stakeholders were purposively identified and invited to participate in interviews.
Stakeholders viewed the integrated database as having potential to support research, service development and commissioning decisions. Barriers such as providers' reluctance to reveal their business strategies to rival organisations, cost of setting up and running the proposed database, complex information-sharing and governance were identified.
An integrated lifestyle database has the potential to support research and service commissioning regionally. However, several barriers were identified that must be addressed prior to the development and implementation of an integrated database.
目前,英国各地的地方当局公共卫生生活方式数据库之间的一致性很差。在区域层面整合生活方式数据库可以提供丰富的资源,支持研究,并帮助告知公共卫生负责人和服务专员改善服务交付、促进决策制定和制定关键公共卫生政策。在实施之前,应该探索综合生活方式数据库的可接受性。本研究的目的是咨询公共卫生利益相关者,以探讨在四个关键公共卫生领域(戒烟、饮食、身体活动和饮酒)开发和实施区域综合生活方式数据库的可接受性:
从英格兰东米德兰兹地区招募公共卫生利益相关者进行定性访谈。所有访谈均使用视频会议软件进行,并使用框架方法记录、转录和分析。有针对性地确定了 16 名公共卫生利益相关者,并邀请他们参加访谈。
利益相关者认为该综合数据库有可能支持研究、服务开发和委托决策。确定了一些障碍,例如提供者不愿意向竞争对手组织透露其商业策略、建立和运行拟议数据库的成本、复杂的信息共享和治理。
综合生活方式数据库有可能在区域内支持研究和服务委托。然而,在开发和实施综合数据库之前,必须解决几个已经确定的障碍。