Objective: The perceived capacity of health management teams to utilize research for decision making is assessed, as well as proposals for strengthening such capacity.
Materials And Methods: A total of 103 management teams (84.4% response rate) from a wide range of institutions in six contrasting and representative states in Mexico were asked to assess their perceived capacity for utilizing research and to propose strategies to strengthen that capacity. Qualitative and statistical techniques were used from April to November 2007, after approval by the Mexico National Institute of Public Health (INSP) Ethics Commission.
Results: Significant differences across states were found. Only the acquisition of knowledge is significantly correlated with the human development index. The acquisition of research is identified as the priority for strengthening capacity, through increasing the qualifications of personnel in public health research. States with a lower human development index have more immediate needs for strengthening capacity. Proposals for strengthening capacity also depend on whether decision makers are aware of the importance of research.
Conclusions: The use of self-assessment should be encouraged at the state and institutional levels. Different strategies should be used to address differences among states.
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Alzheimers Dement
January 2025
Department of Research, Africa Institute of Mental and Brain Health, Nairobi, Kenya.
Introduction: This study describes the implementation outcomes and evaluation of DEM-SKY, a community-based dementia screening program developed in rural Kenya with the support of community health care workers (CHWs).
Methods: DEM-SKY was delivered to 3546 older adults in Makueni County, Kenya, over a 6-month period. Using a mixed-methods design, we explored implementation outcomes with stakeholders through surveys and interviews.
Zhonghua Yi Xue Za Zhi
January 2025
Public Health Emergency Management Innovation Center, Key Laboratory of Pathogen Infection Prevention and Control (Peking Union Medical College), Ministry of Education, State Key Laboratory of Respiratory Health and Multimorbidity, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing100730, China.
The prevalence and evolution of respiratory pathogens are changing, and issues related to drug-resistance are becoming increasingly prominent in the post-COVID era. The urgency of controlling respiratory pathogens has intensified. This issue organizes expert discussions to address the resurgence of various respiratory pathogens, summarizing current status of pathogen surveillance, drug-resistance research and vaccine development, while suggesting countermeasures.
View Article and Find Full Text PDFBMJ Open
December 2024
Health Policy Research Center, Guangxi Medical University, Nanning, Guangxi, China
Objective: The purpose of this study is to analyse the changes in the equity of intensive care unit (ICU) bed allocation in 14 cities in China's Guangxi Zhuang Autonomous Region from 2018 to 2021, to identify the problems in the process of ICU bed allocation in China's ethnic minority regions.
Design: The Gini coefficient, Theil index, health resource density index, and spatial correlation analysis were used to analyse the current status of ICU bed resource allocation and allocation equity in Guangxi, China, on two dimensions: geography, and population.
Setting: The Guangxi Zhuang Autonomous Region.
Health Res Policy Syst
January 2025
Centre for Epidemic Interventions Research, Norwegian Institute of Public Health, Oslo, Norway.
During public health crises such as pandemics, governments must rapidly adopt and implement wide-reaching policies and programs ("public policy interventions"). A key takeaway from the coronavirus disease 2019 (COVID-19) pandemic was that although numerous randomized controlled trials (RCTs) focussed on drugs and vaccines, few policy experiments were conducted to evaluate effects of public policy interventions across various sectors on viral transmission and other consequences. Moreover, many quasi-experimental studies were of spurious quality, thus proving unhelpful for informing public policy.
View Article and Find Full Text PDFAust J Rural Health
February 2025
Primary Care Connect, Shepparton, Australia.
Objective: The median age of people in rural areas is older than those living in metropolitan areas. Harnessing the potential of the mature-aged population in rural communities may present a uniquely sustainable approach to strengthening the rural health workforce system. The objective of this study was to map the rural health workforce system in Australia and identify the current and potential role of mature-aged people in the workforce system.
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