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Equity-focused knowledge translation: a framework for “reasonable action” on health inequities

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

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.

Methods

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).

Results

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.

Conclusions

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.

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Notes

  1. The “First Wave” refers to the biomedical perspective in health research, which, in its focus on physiological vulnerabilities and clinical outcomes, has limited relevance to health equities, except insofar as it takes up the lion’s share of health research funding in Canada and around the world.

References

  • Blaikie N (2007) Classical research paradigms: approaches to social enquiry. Polity Press, Cambridge

    Google Scholar 

  • CIHR (Canadian Institutes of Health Research) (2009) Institute of Population and Public Health Strategic Plan (2009–2014): Health Equity Matters. CIHR, Ottawa

    Google Scholar 

  • Coburn D (2000) Income inequality, social cohesion and the health status of populations: the role of neo-liberalism. Soc Sci Med 51(1):135–146

    Article  CAS  PubMed  Google Scholar 

  • Coburn D (2004) Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities. Soc Sci Med 58(1):41–56

    Article  PubMed  Google Scholar 

  • Cruikshank B (1999) The will to empower: democratic citizens and other subjects. Cornell University Press, New York

    Google 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, Geneva

    Google 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 195–208

    Google Scholar 

  • Fort M, Mercer MA, Gish O (2004) Sickness and wealth: the corporate assault on global health. South End Press, Cambridge

    Google 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, Chicago

    Google Scholar 

  • Foucault M (2001) The subject and power. In: The Essential Works 1954–1984. Power, vol 3. Allen Lane, London

  • Friel S, Marmot MG (2011) Action on the social determinants of health and health inequities goes global. Annu Rev Public Health 32:225–236

    Article  PubMed  Google Scholar 

  • Goesling B, Firebaugh G (2004) The trend in international health inequality. Popul Dev Rev 30(1):131–146

    Article  Google Scholar 

  • Graham I, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N (2006) Lost in knowledge translation: time for a map? J Contin Educ Health Prof 26:13–24

    Article  PubMed  Google Scholar 

  • Harvey D (2005) A brief history of neoliberalism. Oxford, New York

    Google Scholar 

  • Holland R (1999) Reflexivity. Hum Relat 52(4):463–484

    Google Scholar 

  • Holmes D, Murray SJ, Perron A, Rail G (2006) Deconstructing the evidence-based discourse in health sciences: truth, power and fascism. Int J Evid Based Healthc 4(3):180–186

    PubMed  Google Scholar 

  • Jasper M (2003) Beginning reflective practice. Nelson Thorn, Cheltenham

    Google Scholar 

  • Kitson AL (2008) The need for systems change: reflections on knowledge translation and organizational change. J Adv Nurs 65(1):217–228

    Article  PubMed  Google Scholar 

  • Lemstra M, Neudorf C (2008) Health disparity in Saskatoon: analysis to intervention. Saskatoon Health Region, Saskatoon

    Google Scholar 

  • Morris JA, Brotheridge CM, Urbanski JC (2005) Bringing humility to leadership: antecedents and consequences of leader humility. Hum Relat 58(10):1323–1350

    Article  Google 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, Antigonish

    Google Scholar 

  • Ontario Agency for Health Protection and Promotion (2009) 2010–2013 Strategic Plan. Ontario Agency for Health Protection and Promotion, Toronto

    Google Scholar 

  • Östlin P, Schrecker T, Sadana R, Bonnefoy J, Gilson L et al (2011) Priorities for research on equity and health: towards an equity-focused health research agenda. PLOS Med 8(11):e1001115

    Article  PubMed Central  PubMed  Google Scholar 

  • Raphael D, Curry-Stevens A, Bryant T (2008) Barriers to addressing the social determinants of health: insights from the Canadian experience. Health Policy 88:222–235

    Article  PubMed  Google Scholar 

  • Rycroft-Malone J (2007) Theory and knowledge translation: setting some coordinates. Nurs Res 56(4S):S78–S85

    Article  PubMed  Google Scholar 

  • Sen A (2009) The idea of justice. Penguin, Toronto

    Google Scholar 

  • Vancouver Coastal Health (2006) Towards a population health promotion approach: a framework and recommendations for action. VCH Primary Health Care Network, Vancouver

    Google Scholar 

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Correspondence to J. R. Masuda.

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Masuda, J.R., Zupancic, T., Crighton, E. et al. Equity-focused knowledge translation: a framework for “reasonable action” on health inequities. Int J Public Health 59, 457–464 (2014). https://doi.org/10.1007/s00038-013-0520-z

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  • DOI: https://doi.org/10.1007/s00038-013-0520-z

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