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Framework for Selecting Best Practices in Public Health: A Systematic Literature Review

机译:选择公共卫生最佳实践的框架:系统文献综述

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摘要

Evidence-based public health has commonly relied on findings from empirical studies, or research-based evidence. However, this paper advocates that practice-based evidence derived from programmes implemented in real-life settings is likely to be a more suitable source of evidence for inspiring and guiding public health programmes. Selection of best practices from the array of implemented programmes is one way of generating such practice-based evidence. Yet the lack of consensus on the definition and criteria for practice-based evidence and best practices has limited their application in public health so far. To address the gap in literature on practice-based evidence, this paper hence proposes measures of success for public health interventions by developing an evaluation framework for selection of best practices. The proposed framework was synthesised from a systematic literature review of peer-reviewed and grey literature on existing evaluation frameworks for public health programmes as well as processes employed by health-related organisations when selecting best practices. A best practice is firstly defined as an intervention that has shown evidence of effectiveness in a particular setting and is likely to be replicable to other situations. Regardless of the area of public health, interventions should be evaluated by their context, process and outcomes. A best practice should hence meet most, if not all, of eight identified evaluation criteria: relevance, community participation, stakeholder collaboration, ethical soundness, replicability, effectiveness, efficiency and sustainability. Ultimately, a standardised framework for selection of best practices will improve the usefulness and credibility of practice-based evidence in informing evidence-based public health interventions.Significance for public healthBest practices are a valuable source of practice-based evidence on effective public health interventions implemented in real-life settings. Yet, despite the frequent branding of interventions as best practices or good practices, there is no consensus on the definition and desirable characteristics of such best practices. Hence, this is likely to be the first systematic review on the topic of best practices in public health. Having a single widely accepted framework for selecting best practices will ensure that the selection processes by different agencies are fair and comparable, as well as enable public health workers to better appreciate and adopt best practices in different settings. Ultimately, standardisation will improve the credibility and usefulness of practice-based evidence to that of research-based evidence.
机译:基于证据的公共卫生通常依赖于经验研究或基于研究的证据。但是,本文主张从现实生活中实施的计划中获得的基于实践的证据可能是激发和指导公共卫生计划的更合适的证据来源。从一系列已实施的程序中选择最佳实践是生成此类基于实践的证据的一种方法。然而,到目前为止,对于基于实践的证据和最佳实践的定义和标准缺乏共识,限制了它们在公共卫生中的应用。为了解决基于实践证据的文献方面的空白,因此,本文提出了通过选择最佳实践的评估框架来提出公共卫生干预措施成功的措施。拟议框架是通过对同行评审和灰色文献的系统文献综述而得出的,该文献涉及公共卫生计划的现有评估框架以及与卫生相关的组织在选择最佳实践时所采用的流程。首先,将最佳实践定义为一种干预措施,该干预措施已显示出在特定环境中有效的证据,并且可能会复制到其他情况。无论公共卫生领域如何,均应根据干预措施的背景,过程和结果对其进行评估。因此,最佳实践应满足八个(即使不是全部)已确定的评估标准中的大多数:相关性,社区参与,利益相关者合作,道德稳健性,可复制性,有效性,效率和可持续性。最终,选择最佳实践的标准化框架将提高基于实践的证据在告知基于证据的公共卫生干预措施方面的实用性和可信度。在现实生活中。然而,尽管将干预措施频繁地标记为最佳实践或良好实践,但对于此类最佳实践的定义和理想特征尚无共识。因此,这很可能是对公共卫生最佳实践主题的首次系统评价。拥有一个公认的最佳实践选择框架,可以确保不同机构的选择过程公平,可比,并使公共卫生工作者能够更好地欣赏和采用不同环境中的最佳实践。最终,标准化将提高基于实践的证据与基于研究的证据的信誉和实用性。

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