Critical examination of knowledge to action models and implications for promoting health equity
Critical examination of knowledge to action models and implications for promoting health equity
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DOI：
10.1186/s12939-015-0178-7
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发表时间：
2015-05-29
影响因子：
4.8
通讯作者：
Clement, Connie
中科院分区：
文献类型：
--
作者：
Davison, Colleen M.;Ndumbe-Eyoh, Sume;Clement, Connie
导言：现有知识和有效的干预措施可以解决当前许多全球卫生不平等问题。然而，在采取行动改善弱势群体健康方面，人们对知识的认识、吸收和利用有限。改善卫生公平的知识和行动之间的差距是卫生研究人员和从业者关注的问题。本研究确定并批判性地考察了现有知识对促进健康公平的行动模型或框架的有用性。方法：我们对现有文献进行了范围审查，以确定知识对行动(KTA)模型或框架的有效性，并使用健康公平支持标准对模型进行了评价。六位模特在健康公平支持度评分中的得分在8分到10分之间，最高得分为12分。这些高分的模型或框架都提到了与股票相关的概念。在得分较低的模式中，对多部门办法的关注是最常缺少的因素。知识中介、整合过程，如一些本土健康研究中的概念，以及生态健康应用于KTA都是很有前途的领域。结论：现有的知识到行动模式或框架可以帮助指导知识转化，以支持关于健康和健康公平的社会决定因素的行动。需要进一步测试现有模型或框架。这一进程应由参与性和综合性研究提供信息。还有开发更稳健的股权支持模式的空间。
Introduction: Knowledge and effective interventions exist to address many current global health inequities. However, there is limited awareness, uptake, and use of knowledge to inform action to improve the health of disadvantaged populations. The gap between knowledge and action to improve health equity is of concern to health researchers and practitioners. This study identifies and critically examines the usefulness of existing knowledge to action models or frameworks for promoting health equity.Methods: We conducted a scoping review of existing literature to identify knowledge to action (KTA) models or frameworks and critiqued the models using a health equity support rubric.Results: We identified forty-eight knowledge to action models or frameworks. Six models scored between eight and ten of a maximum 12 points on the health equity support rubric. These high scoring models or frameworks all mentioned equity-related concepts. Attention to multisectoral approaches was the factor most often lacking in the low scoring models. The concepts of knowledge brokering, integrative processes, such as those in some indigenous health research, and Ecohealth applied to KTA all emerged as promising areas.Conclusions: Existing knowledge to action models or frameworks can help guide knowledge translation to support action on the social determinants of health and health equity. There is a need to further test existing models or frameworks. This process should be informed by participatory and integrative research. There is room to develop more robust equity supporting models.