Abstract:
:The prevalence of opioid use and misuse has provoked a staggering number of deaths over the past two and a half decades. Much attention has focused on individual risks according to various characteristics and experiences. However, broader social and contextual domains are also essential contributors to the opioid crisis such as interpersonal relationships and the conditions of the community and society that people live in. Despite efforts to tackle the issue, the rates of opioid misuse and non-fatal and fatal overdose remain high. Many call for a broad public health approach, but articulation of what such a strategy could entail has not been fully realised. In order to improve the awareness surrounding opioid misuse, we developed a social-ecological framework that helps conceptualise the multivariable risk factors of opioid misuse and facilitates reviewing them in individual, interpersonal, communal and societal levels. Our framework illustrates the multi-layer complexity of the opioid crisis that more completely captures the crisis as a multidimensional issue requiring a broader and integrated approach to prevention and treatment.
journal_name
Health Res Policy Systjournal_title
Health research policy and systemsauthors
Jalali MS,Botticelli M,Hwang RC,Koh HK,McHugh RKdoi
10.1186/s12961-020-00596-8subject
Has Abstractpub_date
2020-08-06 00:00:00pages
87issue
1issn
1478-4505pii
10.1186/s12961-020-00596-8journal_volume
18pub_type
信件abstract::Nationally representative observational and translational research is needed to address the public health challenges in Indonesia due to the geographic disparity, recently decentralized health system, and diverse infectious disease priorities. To accomplish this, the Indonesian Ministry of Health in collaboration with...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-015-0024-9
更新日期:2015-07-29 00:00:00
abstract:BACKGROUND:Randomized trials have long been the gold-standard for evaluating clinical practice. There is growing recognition that rigorous studies are similarly needed to assess the effects of policy. However, these studies are rarely conducted. We report on the Quality Improvement Demonstration Study (QIDS), an exampl...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-6-5
更新日期:2008-03-25 00:00:00
abstract:BACKGROUND:How to assess the impact of research is of growing interest to funders, policy makers and researchers mainly to understand the value of investments and to increase accountability. Broadly speaking the term "research impact" refers to the contribution of research activities to achieve desired societal outcome...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-9-26
更新日期:2011-06-24 00:00:00
abstract:BACKGROUND:Health technology assessment (HTA) is mostly used in the context of high- and middle-income countries. Many "resource-poor" settings, which have the greatest need for critical assessment of health technology, have a limited basis for making evidence-based choices. This can lead to inappropriate use of techno...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-12-66
更新日期:2014-12-02 00:00:00
abstract::Today we have an incomplete picture of how much the world is spending on health and disease-related research and development (R&D). As such it is difficult to align, or even begin to coordinate, health R&D investments with international public health priorities. Current efforts to track and map global health research ...
journal_title:Health research policy and systems
pub_type: 社论
doi:10.1186/1478-4505-10-28
更新日期:2012-09-01 00:00:00
abstract::Public health research is complex, involves various disciplines, epistemological perspectives and methods, and is rarely conducted in a controlled setting. Often, the added value of a research project lies in its inter- or trans-disciplinary interaction, reflecting the complexity of the research questions at hand. Thi...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0112-5
更新日期:2016-06-13 00:00:00
abstract::Calls for evidence-informed public health policy-making often ignore that there are multiple, and often competing, bodies of potentially relevant evidence to which policy-makers have recourse in identifying policy priorities and taking decisions. In this paper, we illustrate how policy frames may favour the use of spe...
journal_title:Health research policy and systems
pub_type: 信件
doi:10.1186/s12961-020-00614-9
更新日期:2020-08-24 00:00:00
abstract:BACKGROUND:The use of participatory monitoring and evaluation (M&E) approaches is important for guiding local decision-making, promoting the implementation of effective interventions and addressing emerging issues in the course of implementation. In this article, we explore how participatory M&E approaches helped to id...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-017-0274-9
更新日期:2017-12-28 00:00:00
abstract:BACKGROUND:Health research is increasing in Africa, but most resources are currently chanelled towards infectious diseases and health system development. While infectious diseases remain a heavy burden for some African countries, non-communicable diseases (NCDs) account for more than half of all deaths globally and WHO...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-8-13
更新日期:2010-05-19 00:00:00
abstract:BACKGROUND:Health system governance is widely recognised as critical to well-performing health systems in low- and middle-income countries. However, in 2008, the Alliance for Health Policy and Systems Research identified governance as a neglected health systems research issue. Given the demands of such research, the Al...
journal_title:Health research policy and systems
pub_type: 信件
doi:10.1186/s12961-020-00552-6
更新日期:2020-05-11 00:00:00
abstract:BACKGROUND:Traditional reporting of research outcomes and impacts, which tends to focus on research product publications and grant success, does not capture the value, some contributions, or the complexity of research projects. The purpose of this study was to understand the contributions of five systems-level research...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-017-0185-9
更新日期:2017-03-21 00:00:00
abstract:BACKGROUND:Pakistan has one of the highest infant and child mortality rates in the world, half of these occurring due to vaccine-preventable diseases. The country started its Expanded Programme on immunisation (EPI) in 1978. However, the programme's performance is often questioned, as the Immunisation rates have been c...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-019-0452-z
更新日期:2019-05-17 00:00:00
abstract:BACKGROUND:Building capacity in health policy and systems research (HPSR), especially in low- and middle-income countries, remains a challenge. Various approaches have been suggested and implemented by scholars and institutions using various forms of capacity building to address challenges regarding HPSR development. T...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0159-3
更新日期:2016-12-20 00:00:00
abstract:BACKGROUND:Schools of public health (SPHs) are increasingly being recognised as important contributors of human, social and intellectual capital relevant to health policy and decision-making. Few studies within the implementation science literature have systematically examined knowledge exchange experiences within this...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-018-0342-9
更新日期:2018-07-25 00:00:00
abstract:CONTEXT:Systems science provides organizational principles supported by biologic findings that can be applied to any organization; any incongruence indicates an incomplete or an already failing system. U.S. health care is commonly referred to as a system that consumes an ever- increasing percentage of the gross domesti...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-7-1
更新日期:2009-01-02 00:00:00
abstract:BACKGROUND:Long-acting reversible contraceptives, such as the intrauterine device (IUD), remain underutilised in Pakistan with high discontinuation rates. Based on a 24-month prospective client follow-up (nested within a larger quasi-experimental study), this paper presents the comparison of two intervention models, on...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-015-0040-9
更新日期:2015-11-25 00:00:00
abstract:BACKGROUND:The translation of biomedical research discoveries into clinical practice is marked by extended timelines (averaging 17 years) and multiple sequential process steps. However, even after a drug, device, diagnostic tool or unique therapeutic procedure successfully navigates through clinical testing to approval...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-020-00619-4
更新日期:2020-09-17 00:00:00
abstract:BACKGROUND:Ensuring the use of research evidence in health system management and policy decisions is an important challenge in this century. Knowledge transfer and exchange (KTE) has emerged as a paradigm to address the challenges and start closing the 'know-do' gap. This area of work is gaining momentum in most develo...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-12-67
更新日期:2014-12-10 00:00:00
abstract:BACKGROUND:Suboptimal prescribing and medications use is a problem for health systems globally. Systematic reviews are a comprehensive resource that can help guide evidence-informed decision-making and implementation of interventions addressing such issues; however, a barrier to the use of systematic reviews is their i...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0140-1
更新日期:2016-09-21 00:00:00
abstract:BACKGROUND:Evidence-informed policymaking has been promoted as a means of ensuring better outcomes. However, what counts as evidence in policymaking lies within a spectrum of expert knowledge and scientifically generated information. Since not all forms of evidence share an equal validity or weighting for policymakers,...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0098-z
更新日期:2016-04-12 00:00:00
abstract:BACKGROUND:When properly trained through training programs on epidemiology, clinical research and healthcare policy, members of patients'/consumers' organizations could be helpful for a patient-oriented healthcare system. Since 2006 the not for profit project PartecipaSalute has organized periodic editions of a trainin...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-10-27
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Preterm birth (PTB) is the leading cause of death in children under age five. Healthcare policy and other decision-making relevant to PTB may rely on obsolete, incomplete or inapplicable research evidence, leading to worsened outcomes. Appropriate knowledge transfer and exchange (KTE) strategies are an impor...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-017-0238-0
更新日期:2017-09-06 00:00:00
abstract:BACKGROUND:This study examines, as a part of the European Union funded Adopting Hospital Based Health Technology Assessment (AdHopHTA) project, the results and barriers of collaboration between Finnish hospitals and the national health technology assessment (HTA) agency, Finohta. A joint collaborative HTA program has e...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0095-2
更新日期:2016-04-05 00:00:00
abstract:BACKGROUND:Participatory research approaches improve the use of evidence in policy, programmes and practice. Few studies have addressed ways to scale up participatory research for wider system improvement or the intensity of effort required. We used the integrated Promoting Action on Research Implementation in Health S...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-018-0392-z
更新日期:2018-11-29 00:00:00
abstract:INTRODUCTION:Numerous sub-Saharan African countries have experimented with performance-based financing (PBF) with the goal of improving health system performance. To date, few articles have examined the implementation of this type of complex intervention in Francophone West Africa. This qualitative research aims to und...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-020-00566-0
更新日期:2020-06-03 00:00:00
abstract:: There were 59,500 Children in out-of-home care in England in 2008. Research into this population points to poor health and quality of life outcomes over the transition to adult independence. This undesirable outcome applies to mental health, education and employment. This lack of wellbeing for the individual is a bur...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-8-10
更新日期:2010-05-12 00:00:00
abstract:BACKGROUND:Local and national governments have implemented sector-specific policies to support economic development through innovation, entrepreneurship and knowledge exchange. Supported by the Welsh Government through the European Regional Development Fund, The Life Science Exchange® project was created with the aim t...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0105-4
更新日期:2016-04-27 00:00:00
abstract:BACKGROUND:Swaziland is experiencing the world's worst HIV and AIDS epidemic. Prevalence rose from four percent of antenatal clinic attendees in 1992 to 42.6 percent in 2004. The Report 'Reviewing 'Emergencies' for Swaziland: Shifting the Paradigm in a New Era' published in 2007 bought together social and economic indi...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-9-S1-S9
更新日期:2011-06-16 00:00:00
abstract:BACKGROUND:A strategy for minimising the time and obstacles to accessing systematic reviews of health system evidence is to collect them in a freely available database and make them easy to find through a simple 'Google-style' search interface. PDQ-Evidence was developed in this way. The objective of this study was to ...
journal_title:Health research policy and systems
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12961-018-0299-8
更新日期:2018-03-15 00:00:00
abstract:BACKGROUND:Situations such as public health emergencies and outbreaks necessitate the development and publication of high-quality recommendations within a condensed timeframe. For example, WHO has produced examples of and guidance for the development of rapid guidelines (RGs). However, more information is needed to und...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-018-0329-6
更新日期:2018-07-13 00:00:00