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Use of evidence to support healthy public policy: a policy effectiveness–feasibility loop

机译:使用证据支持健康的公共政策:政策有效性-可行性循环

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Public policy plays a key role in improving population health and in the control of diseases, including non-communicable diseases. However, an evidence-based approach to formulating healthy public policy has been difficult to implement, partly on account of barriers that hinder integrated work between researchers and policy-makers. This paper describes a “policy effectiveness–feasibility loop” (PEFL) that brings together epidemiological modelling, local situation analysis and option appraisal to foster collaboration between researchers and policy-makers. Epidemiological modelling explores the determinants of trends in disease and the potential health benefits of modifying them. Situation analysis investigates the current conceptualization of policy, the level of policy awareness and commitment among key stakeholders, and what actually happens in practice, thereby helping to identify policy gaps. Option appraisal integrates epidemiological modelling and situation analysis to investigate the feasibility, costs and likely health benefits of various policy options. The authors illustrate how PEFL was used in a project to inform public policy for the prevention of cardiovascular diseases and diabetes in four parts of the eastern Mediterranean. They conclude that PEFL may offer a useful framework for researchers and policy-makers to successfully work together to generate evidence-based policy, and they encourage further evaluation of this approach.
机译:公共政策在改善人口健康和控制包括非传染性疾病在内的疾病方面起着关键作用。但是,制定健康的公共政策的基于证据的方法很难实施,部分原因是阻碍了研究人员与决策者之间整合工作的障碍。本文描述了一个“政策有效性-可行性循环”(PEFL),它将流行病学建模,本地情况分析和选项评估结合在一起,以促进研究人员与决策者之间的合作。流行病学模型探索了疾病趋势的决定因素以及对其进行修改可能带来的健康益处。形势分析调查了当前的政策概念,主要利益相关者之间的政策意识和承诺水平以及实际发生的情况,从而有助于发现政策差距。方案评估结合了流行病学建模和情况分析,以研究各种政策方案的可行性,成本和可能带来的健康益处。作者举例说明了PEFL如何在一个项目中用于为地中海东部四个地区的预防心血管疾病和糖尿病的公共政策提供信息。他们得出的结论是,PEFL可能为研究人员和政策制定者提供一个有用的框架,使其能够成功地共同制定基于证据的政策,并鼓励对此方法进行进一步评估。

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