The use of legal empowerment to improve access to quality health services: a scoping review.
The use of legal empowerment to improve access to quality health services: a scoping review.
复制标题
DOI：
10.1186/s12939-022-01731-3
复制
发表时间：
2022-09-16
影响因子：
4.8
通讯作者：
Zayed, Dina
中科院分区：
文献类型：
--
作者：
Joshi, Anuradha;Schaaf, Marta;Zayed, Dina
本文介绍了一项范围界定审查的结果，审查了在中低收入国家，法律的赋权在多大程度上被用作改善获得优质卫生服务的战略。该审查确定了有关法律的授权方案战略的经验教训，以及对健康授权和健康成果的影响，研究差距，共识领域和该领域的紧张局势。审查包括三个主要数据来源：1）同行评审文献，2）灰色文献，3）与关键的法律的赋权利益攸关方的访谈。同行评议和灰色文献通过关键词搜索确定，受访者通过搜索组织数据库和滚雪球抽样确定。主要的调查结果是：第一，关于利用增强法律的能力战略改善保健服务的文件非常有限。第二，增强法律的权能的办法往往侧重于社区本身优先考虑的问题，往往是狭义的地方挑战。然而，增强法律的权能作为一种寻求集体和个人补救办法的战略，有可能促进结构变革。第三，要实现这一潜力，增强法律的权能就需要建设服务提供者和其他责任承担者在健康和相关权利方面的能力。最后，审查还强调了信任的重要性-对国家机构的信任、对支持这一进程的法律工作者的信任以及对与公共当局接触以纠正冤情的渠道的信任。通过审查，一些差距也变得明显，包括缺乏对私营保健提供者的工作，缺乏对法律的赋权方案的“赋权”效果的讨论，以及对风险和可持续性的探索有限。该文件最后警告说，从业人员需要从他们试图解决的健康挑战开始，然后评估法律的赋权是否是一种适当的方法，而不是将其视为一个银。在线版本包含补充材料，可通过10.1186/s12939-022-01731-3获得。
This paper presents the results of a scoping review that examines the extent to which legal empowerment has been used as a strategy in efforts to improve access to quality health services in low- and middle-income countries. The review identifies lessons learned regarding legal empowerment program strategy, as well as impact on health empowerment and health outcomes, research gaps, areas of consensus and tension in the field. The review included three main sources of data: 1) peer-reviewed literature, 2) grey literature, and 3) interviews with key legal empowerment stakeholders. Peer-reviewed and grey literature were identified via keyword searches, and interviewees were identified by searching an organizational database and snowball sampling. The key findings were: first, there is very limited documentation on the use of legal empowerment strategies for improving health services. Second, the legal empowerment approach tends to be focussed on issues that communities themselves prioritize, often narrowly defined local challenges. However, legal empowerment as a strategy that pursues collective and individual remedies has the potential to contribute to structural change. Third, for this potential to be realised, legal empowerment entails building capacity of service providers and other duty bearers on health and related rights. Finally, the review also highlights the importance of trust—trust in state institutions, trust in the paralegals who support the process and trust in the channels of engagement with public authorities for grievance redress. Several gaps also became evident through the review, including lack of work on private health providers, lack of discussion of the ‘empowerment’ effects of legal empowerment programs, and limited exploration of risk and sustainability. The paper concludes with a caution that practitioners need to start with the health challenges they are trying to address, and then assess whether legal empowerment is an appropriate approach, rather than seeing it as a silver bullet. The online version contains supplementary material available at 10.1186/s12939-022-01731-3.
登录
查看更多内容
影响因子：
1.7
作者：
Dworkin SL;Lu T;Grabe S;Kwena Z;Mwaura-Muiru E;Bukusi E
通讯作者：
Bukusi E
影响因子：
5.4
作者：
Biradavolu, Monica Rao;Burris, Scott;Blankenship, Kim M.
通讯作者：
Blankenship, Kim M.
影响因子：
6.9
作者：
Andrews, Matt;Pritchett, Lant;Woolcock, Michael
通讯作者：
Woolcock, Michael
影响因子：
6.9
作者：
Brown, Alison
通讯作者：
Brown, Alison
影响因子：
6.9
作者：
Fox, Jonathan A.
通讯作者：
Fox, Jonathan A.