The role of health administration technicians in public health policy implementation
Keywords:
health administration technicians, public health policy, implementation outcomes, quantitative measures, systematic reviewAbstract
Background: Effective public health policy implementation is crucial for improving population health outcomes; however, existing research in dissemination and implementation (D&I) science has largely overlooked the role of health administration technicians in this process. Despite the impact of policies on health, studies examining the execution of such policies are limited. Aim: This review seeks to identify and evaluate quantitative measures used to assess health policy implementation outcomes and determinants, filling a significant gap in the current literature. Methods: A systematic review was conducted following PRISMA guidelines, utilizing various academic databases to gather empirical studies that evaluated public health policy implementation from 1995 to 2019. The review analyzed 70 measures of implementation outcomes and determinants, focusing on their psychometric and pragmatic quality. Results: The analysis revealed that fidelity/compliance and acceptability were the most frequently assessed implementation outcomes, while readiness for implementation was the most common determinant. Only a small number of measures assessed cost implications, indicating a potential area for further research. Conclusion: Findings underscore the need for robust quantitative measures to accurately assess health policy implementation. The systematic review contributes to understanding how health administration technicians can effectively support policy execution, enhancing overall public health outcomes.
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