东地中海地区知识翻译平台制度化和可持续性的障碍和促进因素:范围审查。

IF 3.2 2区 医学 Q1 HEALTH POLICY & SERVICES
Zakaria Belrhiti, Houda El Kirat, Djibrine Diallo, Selmi Abdellah, Kaoutar Dib, Saad Zbiri, Sanaa Belabbes, Mehrnaz Kheirandish, Aku Kwamie, Radouane Belouali
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引用次数: 0

摘要

背景:知识翻译平台(KTP)是由政策制定者、国家研究人员和民间社会组成的伙伴关系,作为组织知识中介,促进在循证决策(EIPM)过程中使用和吸收证据。最近的证据表明,在政策稳定的背景下,KTP制度化需要领导、承诺、政治参与、共同所有权、监测和评估、参与性方法和多机构合作。然而,来自东地中海区域(EMR)的有限证据证实、否定或驳斥了这些理论假设。在这篇综述中,我们着手完善、证实或否定这些理论假设,并探索在EMR中制度化和维持(KTPs)的障碍和促进因素。方法:我们遵循范围审查方法学指导。我们检索了三个数据库(Scopus、Web of Science和PubMed),检索了2010年至2022年间以法语、英语或阿拉伯语发表的关于东地中海地区国家医疗保健领域知识翻译平台(KTP)的文章。结果:2585项研究中共纳入55项研究。大多数研究报告了巴基斯坦(n = 11)、伊朗(n = 9)、约旦(n = 8)、黎巴嫩(n = 9)和埃及(n = 16)的KTP计划,而北非国家的代表性不足。审查结果表明,利益相关者、社区参与和政治承诺是将证据转化为行动的关键社会机制。我们的综述强调了上下文障碍,如严格的等级结构、不充分的研究时间保护、延迟的资金支付和对证据使用的文化阻力。结论:研究人员可能会探索阻碍该地区将证据纳入政策的政治和结构性障碍,如总体政治力量和研究结果的敏感性。我们的研究结果强调需要多层次的干预措施来应对这些挑战,并支持需要进行系统的能力建设干预措施,以促进东地中海地区KTPs的制度化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.

Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.

Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.

Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.

Background: Knowledge translation platforms (KTP) are partnerships comprising policy-makers, national researchers, and civil society, serving as organizational knowledge brokers to foster the use and uptake of evidence in evidence-informed policy-making (EIPM) processes. Recent evidence suggested that KTP institutionalization requires leadership, commitment, political engagement, shared ownership, monitoring and evaluation, participatory approaches and multi-institutional collaboration within a policy-stable context. However, limited evidence from the Eastern Mediterranean region (EMR) has confirmed, disconfirmed or refuted these theoretical assumptions. In this review, we set out to refine, confirm or disconfirm these theoretical assumptions and explore the barriers and facilitators to institutionalizing and sustaining (KTPs) in the EMR.

Methods: We followed the scoping review methodological guidance. We searched three databases (Scopus, Web of Science and PubMed) for articles published in French, English or Arabic addressing knowledge translation platforms (KTP) in healthcare in countries from the Eastern Mediterranean region published between 2010 and 2022.

Results: A total of 55 studies were included out of 2585. Most studies reported KTP initiatives from Pakistan (n = 11), Iran (n = 9), Jordan (n = 8), Lebanon (n = 9) and Egypt (n = 16), whilst North African countries were underrepresented. Review findings suggest that stakeholder, community engagement and political commitment are key underlying social mechanisms for translating evidence into action. Our review highlights contextual barriers such as rigid hierarchical structures, inadequate protected research time, delayed financial disbursements and cultural resistance to evidence use.

Conclusions: Researchers might explore the political and structural barriers, such as overarching political forces, and the sensitivity of research findings that impede the uptake of evidence into policy in the region. Our findings underscore the need for multilayered interventions to address these challenges and support the need for systemic capacity-building interventions to promote the institutionalization of KTPs in the Eastern Mediterranean region.

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来源期刊
Health Research Policy and Systems
Health Research Policy and Systems HEALTH POLICY & SERVICES-
CiteScore
7.50
自引率
7.50%
发文量
124
审稿时长
27 weeks
期刊介绍: Health Research Policy and Systems is an Open Access, peer-reviewed, online journal that aims to provide a platform for the global research community to share their views, findings, insights and successes. Health Research Policy and Systems considers manuscripts that investigate the role of evidence-based health policy and health research systems in ensuring the efficient utilization and application of knowledge to improve health and health equity, especially in developing countries. Research is the foundation for improvements in public health. The problem is that people involved in different areas of research, together with managers and administrators in charge of research entities, do not communicate sufficiently with each other.
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