A critical reflection on the use of improvement science approaches in public health.
Objective: 'Improvement science' is used to describe specific quality improvement methods (including tests of change and statistical process control). The approach is spreading from clinical settings to population-wide interventions and is being extended from supporting the adoption of proven interv...
| Publicado en: | Scandinavian Journal of Public Health Vol. 50; no. 3; pp. 389 - 395 |
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| Autores principales: | , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156614026&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156614026 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14034948 BDD jtl: Scandinavian Journal of Public Health issn: 14034948 maglogo: Y pubinfo: dt: May2022 vid: 50 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 156614026 148817111 156614026 156614026 10.1177/1403494821990245 156614026 ppf: 389 ppct: 6 formats: tig: atl: A critical reflection on the use of improvement science approaches in public health. aug: au: Fischbacher, Colin M. Lewsey, Jim Muirie, Jill McCartney, Gerry affil: Public Health Scotland, Edinburgh, UK sug: subj: Reflection Public Health Implementation Science Utilization Quality Improvement Methods Scotland Psychological Well-Being Health Policy Medical Practice Motivation Empowerment Implementation Science Ethical Issues Program Evaluation ab: Objective: 'Improvement science' is used to describe specific quality improvement methods (including tests of change and statistical process control). The approach is spreading from clinical settings to population-wide interventions and is being extended from supporting the adoption of proven interventions to making generalisable claims about new interventions. The objective of this narrative review is to evaluate the strengths and risks of current improvement science practice, particularly in relation to how they might be used in population health. Methods: A purposive sampling of published studies to identify how improvement science methods are being used and for what purpose. The setting was Scotland and studies that focused on health and wellbeing outcomes. Results: We have identified a range of improvement science approaches which provide practitioners with accessible tools to assess small-scale changes in policy and practice. The strengths of such approaches are that they facilitate consistent implementation of interventions already known to be effective and motivate and empower staff to make local improvements. However, we also identified a number of potential risks. In particular, their use to assess the effectiveness of new interventions often seems to pay insufficient attention to random variation, measurement bias, confounding and ethical issues. Conclusions: The use of current improvement science methods to generate evidence of effectiveness for population-wide interventions is problematic and risks unjustified claims of effectiveness, inefficient resource use and harm to those not offered alternative effective interventions. Newer methodological approaches offer alternatives and should be more widely considered. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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