Mapping experiences and perspectives of equity in international health collaborations: a scoping review.

Mapping experiences and perspectives of equity in international health collaborations: a scoping review.
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DOI:
10.1186/s12939-020-01350-w
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发表时间:
2021-01-09
影响因子:
4.8
通讯作者:
de Vries J
de Vries J
中科院分区:
医学2区
文献类型:
--
作者:
Faure MC;Munung NS;Ntusi NAB;Pratt B;de Vries J

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虽然全球卫生研究往往涉及国际合作,但在合作中实现或促进公平仍然是一项关键挑战,尽管建立了概念性方法并制定了促进公平的框架和准则。还有几项实证研究记录了研究人员对不平等的经历以及对促进全球卫生合作公平性需要做些什么的看法。虽然这些实证研究提供了重要的见解,但没有人试图系统地综合什么是公平以及如何实现公平。为了弥补这一差距,我们对定性研究、意见和社论文章进行了范围审查,内容涉及什么是公平以及如何在国际合作中促进公平。我们进行了范围审查,以探索国际卫生合作中的公平领域。这一综述包括关于国际卫生合作公平性的定性研究和评论文章或社论。我们绘制了数据图,并使用主题分析方法确定了共同主题。这个初始搜索在删除重复之后总共检索到7611篇论文。本综述共收录了11篇论文,10篇实证研究和1篇社论。我们在2019年10月至11月期间进行了搜索。我们确定了10个关键领域,这些领域对促进国际合作中的公平至关重要:资金;能力建设;作者;样品所有权和出口;信任;研究协议;承认不平等;认可和沟通。我们的研究结果表明,要使国际合作被认为更加公平,它至少必须考虑我们强调的10个领域。这10个领域映射到社会正义理论的五个关键方面,即避免不平等的权力关系,如从属关系,群体认可和肯定,促进所有人的福祉,参与决策和确保自我发展。
Whilst global health research often involves international collaborations, achieving or promoting equity within collaborations remains a key challenge, despite established conceptual approaches and the development of frameworks and guidelines to promote equity. There have also been several empirical studies documenting researchers’ experiences of inequity and views on what is required to advance equity in global health collaborations. While these empirical studies provide critical insights, there has been no attempt to systematically synthetize what constitutes equity and how it can be achieved. To address this gap, we conducted a scoping review of qualitative studies, opinion and editorial pieces about what equity is and how it can be promoted in international collaborations. We conducted a scoping review to explore domains of equity in international health collaborations. This review included qualitative studies and opinion pieces or editorial pieces on equity in international health collaborations. We mapped the data and identified common themes using a thematic analysis approach. This initial search retrieved a total of 7611 papers after removing duplicates. A total of 11 papers were included in this review, 10 empirical studies and 1 editorial piece. We conducted our search between October – November 2019. We identified 10 key domains which are important for promoting equity in international collaborations: funding; capacity building; authorship; sample ownership and export; trust; research agreement; acknowledging inequality; recognition and communication. Our findings suggest that for international collaborations to be considered more equitable, it must at least consider the 10 domains we highlighted. The 10 domains map onto five key aspects of social justice theory, namely avoiding unequal power relations like subordination, group recognition and affirmation, promoting the well-being of all, inclusion in decision-making and ensuring self-development.
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