Equity-focused knowledge translation: a framework for “reasonable action” on health inequities
To identify gaps in procedural approaches to knowledge translation and outline a more relational approach that addresses health inequities based on creating collaborative environments for reasonable action.
A literature review encompassing approaches to critical inquiry of the institutional conditions in which knowledge is created combined with a process for encouraging reflexive professional practice provide the conceptual foundation for our approach, called equity-focused knowledge translation (EqKT).
The EqKT approach creates a matrix through which teams of knowledge stakeholders (researchers, practitioners, and policymakers) can set common ground for taking collaborative action on health inequities.
Our approach can contribute to the call by the WHO Commission on the Social Determinants of Healths for more reasonable action on health inequities by being incorporated into numerous public health settings and processes. Further steps include empirical applications and evaluations of EqKT in real world applications.
KeywordsHealth inequities Equity-focused knowledge translation Social injustice
- Blaikie N (2007) Classical research paradigms: approaches to social enquiry. Polity Press, CambridgeGoogle Scholar
- CIHR (Canadian Institutes of Health Research) (2009) Institute of Population and Public Health Strategic Plan (2009–2014): Health Equity Matters. CIHR, OttawaGoogle Scholar
- Cruikshank B (1999) The will to empower: democratic citizens and other subjects. Cornell University Press, New YorkGoogle Scholar
- CSDH (Commission on the Social Determinants of Health) (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. World Health Organization, GenevaGoogle Scholar
- Fook J (1999) Critical reflectivity in education and practice. In: Pease B, Fook J (eds) Transforming social work practice: postmodern critical perspectives. Allen and Unwin, St Leonards, pp 195–208Google Scholar
- Fort M, Mercer MA, Gish O (2004) Sickness and wealth: the corporate assault on global health. South End Press, CambridgeGoogle Scholar
- Foucault M (1991) Governmentality. In: Burchell G, Miller P (eds) The Foucault effect: studies in governmentality with two lectures by and an interview with Michel Foucault. University of Chicago Press, ChicagoGoogle Scholar
- Foucault M (2001) The subject and power. In: The Essential Works 1954–1984. Power, vol 3. Allen Lane, LondonGoogle Scholar
- Harvey D (2005) A brief history of neoliberalism. Oxford, New YorkGoogle Scholar
- Holland R (1999) Reflexivity. Hum Relat 52(4):463–484Google Scholar
- Jasper M (2003) Beginning reflective practice. Nelson Thorn, CheltenhamGoogle Scholar
- Lemstra M, Neudorf C (2008) Health disparity in Saskatoon: analysis to intervention. Saskatoon Health Region, SaskatoonGoogle Scholar
- National Collaborating Centre for Determinants of Health (2010) Integrating social determinants of health and health equity into Canadian Public Health Practice: environmental scan 2010. National Collaborating Centre for Determinants of Health, St. Francis Xavier University, AntigonishGoogle Scholar
- Ontario Agency for Health Protection and Promotion (2009) 2010–2013 Strategic Plan. Ontario Agency for Health Protection and Promotion, TorontoGoogle Scholar
- Sen A (2009) The idea of justice. Penguin, TorontoGoogle Scholar
- Vancouver Coastal Health (2006) Towards a population health promotion approach: a framework and recommendations for action. VCH Primary Health Care Network, VancouverGoogle Scholar