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[人群健康干预研究、卫生技术评估、卫生服务研究与干预实施研究:趋同与独特之处]

[Population health intervention research, health technology assessment, health services research and intervention implementation research: Convergences and singularities].

作者信息

Stevens N, Alla F

机构信息

Bordeaux Population Health Research Center. UMR 1219 CIC-EC 1401, Université de Bordeaux, 33 000 Bordeaux, France.

Bordeaux Population Health Research Center. UMR 1219 CIC-EC 1401, Université de Bordeaux, 33 000 Bordeaux, France; Prevention department, CHU, 33 000 Bordeaux, France.

出版信息

Rev Epidemiol Sante Publique. 2023 Apr;71(2):101424. doi: 10.1016/j.respe.2023.101424. Epub 2023 Feb 12.

Abstract

In public health, intervention is an object of research and evaluation which, over time, has given rise to numerous approaches. The first part of the article proposes to reposition intervention research in population health and intervention evaluation on a continuum. Although the former has a more cognitive objective and the latter a more pragmatic objective, they are not mutually exclusive. The distinction between these two practices is based on the predominance of the following characteristics: the objectives pursued, the scope of the investigations, the regulatory constraints, the financing obtained, the ethical approaches taken, and the deliverables established. The second part of the article offers a glance different fields and approaches within the continuum between these two poles: Health Technology Assessment, Health Services Research and Implementation Research. While all of them have the study of health interventions at their core, but each has developed through specialisation in one or the other type of intervention, in a particular scope or context, in certain evaluation questions, or in specific approaches. all as gateways to the study of public health intervention, these different approaches are by no means mutually exclusive.

摘要

在公共卫生领域,干预措施是研究和评估的对象,随着时间的推移,已产生了众多方法。本文的第一部分提议将人群健康方面的干预研究和干预评估重新定位在一个连续统一体上。尽管前者具有更强的认知目标,而后者具有更强的务实目标,但它们并非相互排斥。这两种实践之间的区别基于以下特征的主导地位:所追求的目标、调查范围、监管限制、获得的资金、所采取的伦理方法以及确定的可交付成果。本文的第二部分简要介绍了这两极之间连续统一体内的不同领域和方法:卫生技术评估、卫生服务研究和实施研究。虽然它们都以健康干预措施的研究为核心,但每种方法都是通过在特定范围或背景下、针对某些评估问题或采用特定方法,专门研究一种或另一种类型的干预措施而发展起来的。作为公共卫生干预研究的途径,这些不同方法绝非相互排斥。

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