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Ye P, Peng J, Jin Y, Duan L, Yao Y, Ivers R, Keay L, Tian M. Using a participatory design to develop an implementation framework for integrating falls prevention for older people within the Chinese primary health care system. BMC Geriatr 2024; 24:178. [PMID: 38383320 PMCID: PMC10882749 DOI: 10.1186/s12877-024-04754-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 01/27/2024] [Indexed: 02/23/2024] Open
Abstract
BACKGROUND Chinese National Essential Public Health Service Package (NEPHSP) has mandated primary health care providers to provide falls prevention for community-dwelling older people. But no implementation framework is available to guide better integration of falls prevention for older people within the primary health care system. METHODS This is a two-stage online participatory design study consisting of eight workshops with stakeholders from three purposively selected cities. First, two workshops were organised at each study site to jointly develop the framework prototype. Second, to refine, optimise and finalise the prototype via two workshops with all study participants. Data analysis and synthesis occurred concurrently with data collection, supported by Tencent Cloud Meeting software. RESULTS All participants confirmed that the integration of falls prevention for older people within the NEPHSP was weak and reached a consensus on five opportunities to better integrate falls prevention, including workforce training, community health promotion, health check-ups, health education and scheduled follow-up, during the delivery of NEPHSP. Three regional-tailored prototypes were then jointly developed and further synthesised into a generic implementation framework by researchers and end-users. Guided by this framework, 11 implementation strategies were co-developed under five themes. CONCLUSIONS The current integration of falls prevention in the NEPHSP is weak. Five opportunities for integrating falls prevention in the NEPHSP and a five-themed implementation framework with strategies are co-identified and developed, using a participatory design approach. These findings may also provide other regions or countries, facing similar challenges, with insights for promoting falls prevention for older people.
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Affiliation(s)
- Pengpeng Ye
- National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China
- The George Institute for Global Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
| | - Junyi Peng
- School of Public Health, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150081, China
| | - Ye Jin
- National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China
- The George Institute for Global Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
| | - Leilei Duan
- National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China
| | - Yao Yao
- China Centre for Health Development Studies, Peking University, Beijing, China
| | - Rebecca Ivers
- The George Institute for Global Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
- School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
| | - Lisa Keay
- The George Institute for Global Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
- School of Optometry and Vision Science, Faculty of Medicine and Health, UNSW Sydney, Sydney, Australia
| | - Maoyi Tian
- School of Public Health, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, 150081, China.
- Department of General Practice, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
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Prasinos M, Basdekis I, Anisetti M, Spanoudakis G, Koutsouris D, Damiani E. A Modelling Framework for Evidence-based Public Health Policy Making. IEEE J Biomed Health Inform 2022; 26:2388-2399. [PMID: 35025752 DOI: 10.1109/jbhi.2022.3142503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
It is widely recognised that the process of public health policy making (i.e., the analysis, action plan design, execution, monitoring and evaluation of public health policies) should be evidenced based, and supported by data analytics and decision- making tools tailored to it. This is because the management of health conditions and their consequences at a public health policy making level can benefit from such type of analysis of heterogeneous data, including health care devices usage, physiological, cognitive, clinical and medication, personal, behavioural, lifestyle data, occupational and environmental data. In this paper we present a novel approach to public health policy making in a form of an ontology, and an integrated platform for realising this approach. Our solution is model-driven and makes use of big data analytics technology. More specifically, it is based on public health policy decision making (PHPDM) models that steer the public health policy decision making process by defining the data that need to be collected, the ways in which they should be analysed in order to produce the evidence useful for public health policymaking, how this evidence may support or contradict various policy interventions (actions), and the stakeholders involved in the decision-making process. The resulted web-based platform has been implemented using Hadoop, Spark and HBASE, developed in the context of a research programme on public health policy making for the management of hearing loss called EVOTION, funded by the Horizon 2020.
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Funk T, Sharma T, Chapman E, Kuchenmüller T. Translating health information into policy-making: A pragmatic framework. Health Policy 2021; 126:16-23. [PMID: 34810011 DOI: 10.1016/j.healthpol.2021.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 09/07/2021] [Accepted: 10/01/2021] [Indexed: 11/17/2022]
Abstract
Knowledge translation (KT) is increasingly acknowledged to have the potential to improve policy-making. The value of health information (HI), as part of the KT context, is now also increasingly understood. This paper aims to identify existing tools for the translation of HI into policy-making and to develop a related framework facilitating future application of these identified tools. Updating and building upon a scoping review undertaken for the Health Evidence Network (HEN) Synthesis Report No. 54, commissioned by the World Health Organization (WHO) Regional Office for Europe in 2017, a literature search was conducted using the same databases (PubMed and Scopus) and the same keywords as in the WHO/HEN scoping review. All papers elaborating on tools enhancing the use of HI in policy-making were included. Of the 2549 records screened, 17 publications were included in this study. This review identified four different types of tools: 1) Visualisation and modelling tools, 2) Information packaging and synthesis tools, 3) Communication and dissemination tools and 4) Information linkage and exchange tools. The distinctions between these are fluid as different tools can be combined or incorporated into one another to complement each other. Our framework shows that communication/dissemination or linkage tools are crucial to effectively inform policy decisions through HI. This study helps to understand and guide the processes of KT of HI.
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Affiliation(s)
- Tjede Funk
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Tarang Sharma
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Evelina Chapman
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Tanja Kuchenmüller
- World Health Organization Regional Office for Europe, Copenhagen, Denmark.
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Computing Techniques for Environmental Research and Public Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18189851. [PMID: 34574773 PMCID: PMC8467339 DOI: 10.3390/ijerph18189851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 09/15/2021] [Indexed: 11/22/2022]
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