Purpose: The purpose of this paper is to explore the perceived usefulness of a diabetes economic model as a potential tool for aiding evidence-based decision-making in public health practice. Methods: Fifteen semi-structured interviews and two focus groups with four participants each were conducted with health and management professionals working in one public health department in a local council. Data were analysed using inductive thematic analysis to generate four themes. Findings: Findings reflect the attitudes and beliefs of a diverse staff group situated in public health services. They demonstrate that the economic model had perceived usefulness, and participants reported positive views regarding the principles of economic modelling for decision-making. The model was perceived as useful but potentially problematic in practice due to organisational constraints linked to limited organisational resources, restricted budgets and local priorities. Differences in the institutional logics of staff working in public health and stakeholders from local government were identified as a potential barrier to the use of the diabetes model in practice. Discussion: The findings highlight anticipated challenges that individuals tasking with making decisions for public health practice and policy could face if they selected to implement an economic modelling approach to fulfill the evidence needs of decision-makers. Previous studies have revealed that healthcare decision-makers would find evidence around the economic impacts of public health interventions useful, but this information was not always available in the context or format required. This paper provides insights into how staff working in public health perceive economic modelling and explores how they consider evidence from a diabetes model when making public health practice and policy decisions.

中文翻译：

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公共卫生实践和政策中循证决策的定性探索：糖尿病经济模型对决策者的感知有用性

目的：本文的目的是探索糖尿病经济模型作为辅助公共卫生实践中循证决策的潜在工具的感知效用。方法：15 次半结构化访谈和两个焦点小组各有 4 名参与者，由在地方议会的一个公共卫生部门工作的健康和管理专业人员进行。使用归纳主题分析对数据进行分析以生成四个主题。调查结果：调查结果反映了公共卫生服务中不同工作人员群体的态度和信念。他们证明经济模型已经被认为是有用的，并且参与者报告了关于决策经济模型原则的积极看法。由于与有限的组织资源、有限的预算和当地优先事项相关的组织限制，该模型被认为是有用的，但在实践中可能存在问题。公共卫生工作人员和地方政府利益相关者的制度逻辑差异被认为是糖尿病模型在实践中使用的潜在障碍。讨论：研究结果强调了负责为公共卫生实践和政策做出决策的个人如果选择实施经济建模方法来满足决策者的证据需求，他们可能面临的预期挑战。先前的研究表明，医疗保健决策者会发现有关公共卫生干预措施对经济影响的证据有用，但这些信息并不总是在所需的上下文或格式中可用。本文提供了有关公共卫生工作人员如何看待经济模型的见解，并探讨了他们在制定公共卫生实践和政策决策时如何考虑来自糖尿病模型的证据。