Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions.
Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion.
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China; Tongji University School of Medicine, Shanghai 200092, China.
Jianwei
J
Shi
Tongji University School of Medicine, Shanghai 200092, China.
Chenghua
0000-0002-8937-090X
C
Jiang
The Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, China.
Duxun
D
Tan
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.
Dehua
D
Yu
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.
Yuan
Y
Lu
Tongji University School of Medicine, Shanghai 200092, China.
Pengfei
P
Sun
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.
Ying
Y
Pan
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.
Hanzhi
H
Zhang
Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China; Tongji University School of Medicine, Shanghai 200092, China.
Zhaoxin
0000-0002-5022-4497
Z
Wang
Tongji University College of Economics and Management, Shanghai 200092, China.
Beilei
B
Yang
D002681:China; D003906:Developing Countries; D019317:Evidence-Based Medicine; D006284:Health Plan Implementation; D006801:Humans; D011634:Public Health