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PREVIDE: A Qualitative Study to Develop a Decision-Making Framework (PREVention decIDE) for Noncommunicable Disease Prevention in Healthcare Organisations

Author

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  • Oliver J. Canfell

    (UQ Business School, Faculty of Business, Economics and Law, The University of Queensland, St. Lucia, QLD 4072, Australia
    Centre for Health Services Research, Faculty of Medicine, The University of Queensland, St. Lucia, QLD 4072, Australia
    Queensland Digital Health Centre, Faculty of Medicine, The University of Queensland, Herston, QLD 4006, Australia
    Digital Health Cooperative Research Centre, Australian Government, Sydney, NSW 2000, Australia)

  • Kamila Davidson

    (UQ Business School, Faculty of Business, Economics and Law, The University of Queensland, St. Lucia, QLD 4072, Australia)

  • Clair Sullivan

    (Centre for Health Services Research, Faculty of Medicine, The University of Queensland, St. Lucia, QLD 4072, Australia
    Queensland Digital Health Centre, Faculty of Medicine, The University of Queensland, Herston, QLD 4006, Australia
    Metro North Hospital and Health Service, Department of Health, Queensland Government, Herston, QLD 4072, Australia)

  • Elizabeth E. Eakin

    (School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD 4072, Australia)

  • Andrew Burton-Jones

    (UQ Business School, Faculty of Business, Economics and Law, The University of Queensland, St. Lucia, QLD 4072, Australia)

Abstract

Noncommunicable diseases (NCDs), including obesity, remain a significant global public health challenge. Prevention and public health innovation are needed to effectively address NCDs; however, understanding of how healthcare organisations make prevention decisions is immature. This study aimed to (1) explore how healthcare organisations make decisions for NCD prevention in Queensland, Australia (2) develop a contemporary decision-making framework to guide NCD prevention in healthcare organisations. Cross-sectional and qualitative design, comprising individual semi-structured interviews. Participants ( n = 14) were recruited from two organisations: the state public health care system (CareQ) and health promotion/disease prevention agency (PrevQ). Participants held executive, director/manager or project/clinical lead roles. Data were analysed in two phases (1) automated content analysis using machine learning (Leximancer v4.5) (2) researcher-led interpretation of the text analytics. Final themes were consolidated into a proposed decision-making framework (PREVIDE, PREvention decIDE) for NCD prevention in healthcare organisations. Decision-making was driven by four themes: Data, Evidence, Ethics and Health, i.e., data, its quality and the story it tells; traditional and non-traditional sources of evidence; ethical grounding in fairness and equity; and long-term value generated across multiple determinants of health. The strength of evidence was directly proportional to confidence in the ethics of a decision. PREVIDE can be adapted by public health practitioners and policymakers to guide real-world policy, practice and investment decisions for obesity prevention and with further validation, other NCDs and priority settings (e.g., healthcare).

Suggested Citation

  • Oliver J. Canfell & Kamila Davidson & Clair Sullivan & Elizabeth E. Eakin & Andrew Burton-Jones, 2022. "PREVIDE: A Qualitative Study to Develop a Decision-Making Framework (PREVention decIDE) for Noncommunicable Disease Prevention in Healthcare Organisations," IJERPH, MDPI, vol. 19(22), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15285-:d:977601
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    References listed on IDEAS

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    1. Carter, S.M. & Rychetnik, L. & Dietetics, P. & Lloyd, B. & Kerridge, I.H. & Baur, L. & Bauman, A. & Hooker, C. & Zask, A., 2011. "Evidence, Ethics, and values: A Framework for Health promotion," American Journal of Public Health, American Public Health Association, vol. 101(3), pages 465-472.
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