Linking knowledge with action when engagement is out of reach: three contextual features of effective public health communication

Linking knowledge with action when engagement is out of reach: three contextual features of effective public health communication
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当无法参与时将知识与行动联系起来:有效公共卫生沟通的三个背景特征

DOI:
10.1093/heapol/czab105
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发表时间:
2021
影响因子:
3.2
通讯作者:
Andersson, Krister
Andersson, Krister
中科院分区:
医学3区
文献类型:
--
作者:
Emmelhainz, Roger;Zarychta, Alan;Grillos, Tara;Andersson, Krister

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学者和从业人员经常促进决策者、卫生工作者和研究人员之间的直接接触,作为克服在卫生政策中利用科学知识的障碍的一项战略。然而,在许多情况下,公共卫生官员很少有机会与研究人员互动,这是2019年冠状病毒病大流行进一步加剧的问题。一个著名的理论认为,政策行为者将信任和利用研究结果时,他们认为他们是突出的,可信的和合法的。我们借鉴这一理论,以检查条件,促进卫生官员之间的新知识的吸收时,参与是遥不可及的,而是通过书面大众传播接触到新的想法。使用的数据,从一项调查实验,约260名卫生工作者和行政人员在洪都拉斯,我们发现,从技术官僚发件人的统计证据的基础上提高了感知的显着性,可信度和合法性(SCL)的消息。此外,SCL的看法是作为知识和行动之间的联合调解人的三个上下文功能,和一些个人特征也影响官员是否足够信任的研究结果,以应用它们时,制定和实施卫生政策。这项研究可以帮助设计对上下文敏感的知识翻译和交流战略,以推进循证公共卫生的目标,特别是在难以实现直接参与的环境中。
Scholars and practitioners often promote direct engagement between policymakers, health workers and researchers as a strategy for overcoming barriers to utilizing scientific knowledge in health policy. However, in many settings public health officials rarely have opportunities to interact with researchers, which is a problem further exacerbated by the coronavirus disease 2019 pandemic. One prominent theory argues that policy actors will trust and utilize research findings when they perceive them to be salient, credible and legitimate. We draw on this theory to examine the conditions facilitating greater uptake of new knowledge among health officials when engagement is out of reach and they are instead exposed to new ideas through written mass communication. Using data from a survey experiment with about 260 health workers and administrators in Honduras, we find that messages from a technocratic sender based on statistical evidence improved perceptions of salience, credibility and legitimacy (SCL). Additionally, perceptions of SCL are three contextual features that operate as joint mediators between knowledge and action, and several individual characteristics also influence whether officials trust research findings enough to apply them when formulating and implementing health policies. This research can help inform the design of context-sensitive knowledge translation and exchange strategies to advance the goals of evidence-based public health, particularly in settings where direct engagement is difficult to achieve.
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