Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
BACKGROUND: Decisions to scale up population health interventions from small projects to wider state or national implementation is fundamental to maximising population-wide health improvements. The objectives of this study were to examine: i) how decisions to scale up interventions are currently mad...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996855/ https://www.ncbi.nlm.nih.gov/pubmed/24735455 http://dx.doi.org/10.1186/1478-4505-12-18 |
_version_ | 1782313105911447552 |
---|---|
author | Milat, Andrew J King, Lesley Newson, Robyn Wolfenden, Luke Rissel, Chris Bauman, Adrian Redman, Sally |
author_facet | Milat, Andrew J King, Lesley Newson, Robyn Wolfenden, Luke Rissel, Chris Bauman, Adrian Redman, Sally |
author_sort | Milat, Andrew J |
collection | PubMed |
description | BACKGROUND: Decisions to scale up population health interventions from small projects to wider state or national implementation is fundamental to maximising population-wide health improvements. The objectives of this study were to examine: i) how decisions to scale up interventions are currently made in practice; ii) the role that evidence plays in informing decisions to scale up interventions; and iii) the role policy makers, practitioners, and researchers play in this process. METHODS: Interviews with an expert panel of senior Australian and international public health policy-makers (n = 7), practitioners (n = 7), and researchers (n = 7) were conducted in May 2013 with a participation rate of 84%. RESULTS: Scaling up decisions were generally made through iterative processes and led by policy makers and/or practitioners, but ultimately approved by political leaders and/or senior executives of funding agencies. Research evidence formed a component of the overall set of information used in decision-making, but its contribution was limited by the paucity of relevant intervention effectiveness research, and data on costs and cost effectiveness. Policy makers, practitioners/service managers, and researchers had different, but complementary roles to play in the process of scaling up interventions. CONCLUSIONS: This analysis articulates the processes of how decisions to scale up interventions are made, the roles of evidence, and contribution of different professional groups. More intervention research that includes data on the effectiveness, reach, and costs of operating at scale and key service delivery issues (including acceptability and fit of interventions and delivery models) should be sought as this has the potential to substantially advance the relevance and ultimately usability of research evidence for scaling up population health action. |
format | Online Article Text |
id | pubmed-3996855 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39968552014-04-24 Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers Milat, Andrew J King, Lesley Newson, Robyn Wolfenden, Luke Rissel, Chris Bauman, Adrian Redman, Sally Health Res Policy Syst Research BACKGROUND: Decisions to scale up population health interventions from small projects to wider state or national implementation is fundamental to maximising population-wide health improvements. The objectives of this study were to examine: i) how decisions to scale up interventions are currently made in practice; ii) the role that evidence plays in informing decisions to scale up interventions; and iii) the role policy makers, practitioners, and researchers play in this process. METHODS: Interviews with an expert panel of senior Australian and international public health policy-makers (n = 7), practitioners (n = 7), and researchers (n = 7) were conducted in May 2013 with a participation rate of 84%. RESULTS: Scaling up decisions were generally made through iterative processes and led by policy makers and/or practitioners, but ultimately approved by political leaders and/or senior executives of funding agencies. Research evidence formed a component of the overall set of information used in decision-making, but its contribution was limited by the paucity of relevant intervention effectiveness research, and data on costs and cost effectiveness. Policy makers, practitioners/service managers, and researchers had different, but complementary roles to play in the process of scaling up interventions. CONCLUSIONS: This analysis articulates the processes of how decisions to scale up interventions are made, the roles of evidence, and contribution of different professional groups. More intervention research that includes data on the effectiveness, reach, and costs of operating at scale and key service delivery issues (including acceptability and fit of interventions and delivery models) should be sought as this has the potential to substantially advance the relevance and ultimately usability of research evidence for scaling up population health action. BioMed Central 2014-04-15 /pmc/articles/PMC3996855/ /pubmed/24735455 http://dx.doi.org/10.1186/1478-4505-12-18 Text en Copyright © 2014 Milat et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Milat, Andrew J King, Lesley Newson, Robyn Wolfenden, Luke Rissel, Chris Bauman, Adrian Redman, Sally Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
title | Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
title_full | Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
title_fullStr | Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
title_full_unstemmed | Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
title_short | Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
title_sort | increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996855/ https://www.ncbi.nlm.nih.gov/pubmed/24735455 http://dx.doi.org/10.1186/1478-4505-12-18 |
work_keys_str_mv | AT milatandrewj increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers AT kinglesley increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers AT newsonrobyn increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers AT wolfendenluke increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers AT risselchris increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers AT baumanadrian increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers AT redmansally increasingthescaleandadoptionofpopulationhealthinterventionsexperiencesandperspectivesofpolicymakerspractitionersandresearchers |