Faculty of Health & Medicine, Lancaster University, Lancaster, UK.
University College Dublin Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), Health Sciences Centre, School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
Int J Health Policy Manag. 2022 Oct 19;11(10):2365-2367. doi: 10.34172/ijhpm.2022.6900. Epub 2022 Aug 28.
Context matters. Therefore, efforts to develop greater conceptual clarity are important for science and practice. In this commentary, we outline some key issues that were prompted by Squire's et al.'s contribution. Specifically, we reinforce context as an interactive concept and therefore something that is hard to 'pin down', the problematic nature of conceptualising context in implementation and de-implementation, and a requirement for the development of culturally sensitive understandings. Finally, we suggest it is vital that continued investment into providing a more comprehensive list of determinants needs to be accompanied by an equal effort in developing practical methods and tools to support use and application.
背景很重要。因此,努力提高概念的清晰度对科学和实践都很重要。在这篇评论中,我们概述了 Squire 等人的贡献所引发的一些关键问题。具体来说,我们强调了背景是一个互动的概念,因此很难“确定”,在实施和取消实施中概念化背景的问题性质,以及对发展文化敏感理解的要求。最后,我们认为,继续投入提供更全面的决定因素清单,必须同时努力开发实用的方法和工具来支持使用和应用。