Situating implementation science (IS) in res(IS)tance: a conceptual frame toward the integration of scholarship from the black radical tradition.
Situating implementation science (IS) in res(IS)tance: a conceptual frame toward the integration of scholarship from the black radical tradition.
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DOI：
10.3389/fpubh.2023.1286156
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发表时间：
2023
影响因子：
5.2
通讯作者：
Geng, Elvin H.
中科院分区：
文献类型：
--
作者：
Bradley, Cory D.;Irie, Whitney C.;Geng, Elvin H.
关键词：
本文对实施科学领域进行了学科自我批判，该领域试图弥合基于证据的干预措施与其实际应用之间的差距。尽管高度强调卫生公平和种族差异，但该领域目前的论述受到关键认识缺陷的限制。首先，尽管美国种族化群体之间普遍存在的执行差距需要全面了解使这些差距持续存在的系统，但该领域并没有对差异进行一般解释，而不是将其视为系统的失败，而是历史上和结构上设计的系统产生差异。第二，该领域试图在没有与反种族主义和反殖民主义社会学、历史和认识论的广泛传统进行充分对话的情况下解决差异，因此有可能对差异进行脱离背景的分析，并采取不充分了解的方法来实现平等。幸运的是，来自黑人激进传统（BRT）的奖学金，如公共卫生批判种族实践（PHCRP）、批判种族理论（CRT），以及来自后现代、反殖民、黑人女权主义研究和社会认识论的更广泛的概念框架，可以提供实施以权力动力学和种族化压迫为中心的科学框架。这种将实施研究的认识重新调整为“边缘中心”，可以使实施科学领域能够更严格地审查和拆除在获得和利用卫生干预措施方面使种族不平等现象永久化的制度。例如，规范化和动态拟合，这被认为是关键的实施机制，在这一学术传统的光照下被揭示为对压迫性制度的潜在问题默许。从黑人激进传统的学术研究以及当代社会认识论（如jos<s:1> Medina和Maria Fricker关于认识论正义的工作）中所固定的抵抗概念中，作者进一步提出，实施科学可以为拆除种族化系统做出更实质性的贡献，并通过跨学科的抵抗视角积极致力于健康正义。这是一项行动呼吁，将实施科学与植根于黑人研究的批判性哲学和理论观点以及通过争取社会正义的斗争获得的相关见解结合起来，为设计实施战略和研究项目提供信息，改善健康差距人群的卫生服务和健康成果。
This manuscript undertakes a disciplinary self-critique of the field of implementation science, a field which attempts to bridge the gap between evidence-based interventions and their practical application. Despite the heightened emphasis on health equity and racial disparities, the field’s current discourse is limited by key epistemic shortcomings. First, even though prevalence of implementation gaps between racialized groups in the United States necessitates a comprehensive understanding of the systems perpetuating these disparities, the field does not operate with a general explanation for disparities not as a failure of systems, but a system historically and structural designed to produce disparities. Second, the field has attempted to address disparities without adequate dialog with a broad tradition of anti-racist and anti-colonial sociology, history and epistemology, and therefore risks a decontextualized analysis of disparities and under-informed approaches to achieving equity. Fortunately, scholarship from the Black radical tradition (BRT), such as the Public Health Critical Race Praxis (PHCRP), Critical Race Theory (CRT), and more broadly conceptual frameworks from post-modern, anti-colonial, Black feminist studies and social epistemology can offer to implementation science frameworks that center power dynamics and racialized oppression. This epistemic re-alignment of implementation research to “center at the margins” can enable the field of implementation science to more critically examine and dismantle systems that perpetuate racial inequalities in access to and utilization of health interventions. For example, normalization and dynamic fit, which are thought to be key mechanisms of implementation, are revealed in the light of this tradition of scholarship to be potentially problematic acquiescence to oppressive systems. Drawing from the concept of resistance anchored in the scholarship of the Black radical tradition as well as contemporary social epistemology such as the work of José Medina and Maria Fricker about epistemic justice, the authors further advance that implementation science could make more substantial contributions to the dismantling of racialized systems and actively work toward health justice through the transdisciplinary lens of resistance. This is a call to action for integrating implementation science with critical philosophical and theoretical perspectives rooted in Black studies and related insights, which have been acquired through the struggle for social justice, to inform the design of implementation strategies and research projects that improve health services and health outcomes for health disparity populations.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
一项基于初级护理的干预措施的定性研究，以改善心力衰竭患者的管理：促进与情境之间的动态关系。
影响因子：
2.9
作者：
Tierney S;Kislov R;Deaton C
通讯作者：
Deaton C
DOI：
10.1186/s13012-021-01097-0
发表时间：
2021-03-19
期刊：
Implementation science : IS
影响因子：
--
作者：
Brownson RC;Kumanyika SK;Kreuter MW;Haire-Joshu D
通讯作者：
Haire-Joshu D
影响因子：
1.1
作者：
Earl, Cassie
通讯作者：
Earl, Cassie
影响因子：
4.3
作者：
Guttormsen, David S. A.;Moore, Fiona
通讯作者：
Moore, Fiona