EPIS框架的全周期解析:探索-准备-实施-维持

A Full-Cycle Analysis of the EPIS Framework:Exploration, Preparation, Implementation, Sustainment

  • 摘要: 实施科学旨在促进循证干预的高效推广与可持续应用,为此已形成多种理论、模型与框架。其中,探索-准备-实施-维持(Exploration, Preparation, Implementation, Sustainment, EPIS)框架兼具过程模型与决定因素框架功能,强调实施的阶段性与迭代性,并通过外部情境、内部情境、桥梁因素与创新因素4个维度,系统解释多层级因素对实施过程与结果的影响。EPIS框架已在国际卫生与公共服务领域广泛应用,但在我国相关研究中的应用仍较少见。本文系统介绍了EPIS框架的核心要素与使用方法,并结合卫生领域案例阐释其在识别关键影响因素、制订实施策略及优化实施结局方面的价值,以期为我国实施性研究与循证干预推广提供方法学参考。

     

    Abstract: Implementation science aims to facilitate the efficient dissemination and sustainable application of evidence based interventions, and has accordingly generated a variety of theories, models, and frameworks. Among these, the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework functions both as a process model and a determinant framework, emphasizing the staged and iterative nature of implementation, and systematically explaining the influence of multilevel factors on implementation processes and outcomes through four dimensions:outer context, inner context, bridging factors, and innovation factors. The EPIS framework has been widely applied in health and public service settings internationally, yet its use in China based research remains relatively limited. This article systematically introduces the core components and application methods of the EPIS framework, and illustrates its value in identifying key influencing factors, developing implementation strategies, and optimizing implementation outcomes through case examples from the health sector, aiming to provide a methodological reference for implementation research and the promotion of evidence based interventions in China.

     

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