系统科学
计算机科学
桥(图论)
翻译科学
心理干预
系统思维
数据科学
管理科学
健康科学
医疗保健
论证(复杂分析)
工程伦理学
社会学
心理学
医学
政治学
社会科学
工程类
人工智能
精神科
法学
内科学
医学教育
作者
Douglas A. Luke,Byron J. Powell,Alejandra Paniagua‐Avila
出处
期刊:Annual Review of Public Health
[Annual Reviews]
日期:2023-12-15
卷期号:45 (1)
被引量:2
标识
DOI:10.1146/annurev-publhealth-060922-040205
摘要
We present a detailed argument for how to integrate, or bridge, systems science thinking and methods with implementation science. We start by showing how fundamental systems science principles of structure, dynamics, information, and utility are relevant for implementation science. Then we examine the need for implementation science to develop and apply richer theories of complex systems. This can be accomplished by emphasizing a causal mechanisms approach. Identifying causal mechanisms focuses on the "cogs and gears" of public health, clinical, and organizational interventions. A mechanisms approach focuses on how a specific strategy will produce the implementation outcome. We show how connecting systems science to implementation science opens new opportunities for examining and addressing social determinants of health and conducting equitable and ethical implementation research. Finally, we present case studies illustrating successful applications of systems science within implementation science in community health policy, tobacco control, health care access, and breast cancer screening. Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
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