Brownson R C, Newschaffer C J, Ali-Abarghoui F
Department of Community Health, School of Public Health, St. Louis University, MO 63108-3342, USA.
Am J Public Health. 1997 May;87(5):735-9. doi: 10.2105/ajph.87.5.735.
Policy approaches to health promotion and disease prevention hold great potential, as several community-based projects have illustrated. Policy interventions, despite their wide-spread use, frequently lack a systematic framework for implementation and evaluation. The authors propose a four-stage framework for the formation and evaluation of public health policy. The stages are identification of health risks and preventive options; intervention development; policy development; and policy enactment and assurance. A strong focus on evaluation is included within the framework. In addition, a series of practical implications and recommendations are given under the broad headings of evaluation issues and linkages. It is hoped that the issues described will lead to more systematic implementation and evaluation of public health policy measures.
正如一些社区项目所表明的那样，促进健康和预防疾病的政策方法具有巨大潜力。政策干预措施尽管应用广泛，但往往缺乏系统的实施和评估框架。作者提出了一个用于公共卫生政策形成和评估的四阶段框架。这些阶段包括确定健康风险和预防措施；干预措施制定；政策制定；以及政策颁布和保障。该框架中特别强调了评估。此外，在评估问题和联系等宽泛标题下给出了一系列实际影响和建议。希望所描述的这些问题将促使公共卫生政策措施得到更系统的实施和评估。
