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Prioritizing Population Approaches: A Qualitative Evaluation of Policy, Systems, and Environmental Change Initiatives in Cancer Prevention and Control
  • Published Date:
    August 30 2018
  • Source:
    Popul Health Manag. 22(3):205-212
  • Language:
    English


Public Access Version Available on: July 01, 2019 information icon
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Details:
  • Pubmed ID:
    30160605
  • Pubmed Central ID:
    PMC6395543
  • Description:
    Introduction

    The development and implementation of policy, systems and environmental (PSE) change is a commonly used public health approach to reduce disease burden. CDC’s National Comprehensive Cancer Control Program conducted a demonstration with 13 programs to determine whether and to what extent dedicated resources would enhance the adoption of PSE strategies. This paper describes results of the qualitative portion of a longitudinal, mixed-methods evaluation of this demonstration.

    Methods

    We conducted case studies with a diverse subset of the 13 programs, completing 106 in-depth interviews with state/tribal program staff, community partners, and decision-makers. Interviews addressed PSE change planning and capacity building, partnerships, local context, and how programs achieved PSE change.

    Results

    Dedicated PSE resources, including a policy analyst, helped increase PSE change capacity, intensify focus on PSE change overall, and accomplish specific PSE changes within individual jurisdictions. Stakeholders described PSE change as a gradual process requiring preparation and prioritization, strategic collaboration, and navigation of local context.

    Conclusions

    Findings suggest that the demonstration program, including PSE-dedicated funds and a policy analyst, was successful in both increasing PSE change capacity and achieving PSE change itself. These results may be useful to other state, tribal, territorial and public health organizations planning or implementing PSE change strategies.

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