Policy research for disease prevention: challenges and practical recommendations.
R C Brownson,
C J Newschaffer and
F Ali-Abarghoui
Department of Community Health, School of Public Health, St. Louis University, MO 63108-3342, USA.
Policy approaches to health promotion and disease preventionhold great potential, as several community-based projects haveillustrated. Policy interventions, despite their wide-spreaduse, frequently lack a systematic framework for implementationand evaluation. The authors propose a four-stage framework forthe formation and evaluation of public health policy. The stagesare identification of health risks and preventive options; interventiondevelopment; policy development; and policy enactment and assurance.A strong focus on evaluation is included within the framework.In addition, a series of practical implications and recommendationsare given under the broad headings of evaluation issues andlinkages. It is hoped that the issues described will lead tomore systematic implementation and evaluation of public healthpolicy measures.
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