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首页> 外文期刊>BMC Public Health >Evidence use in equity focused health impact assessment: a realist evaluation
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Evidence use in equity focused health impact assessment: a realist evaluation

机译：证据在股权中使用占用健康影响评估：一个现实主义评估

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Equity-focused health impact assessment (EFHIA) can function as a framework and tool that supports users to collate data, information, and evidence related to health equity in order to identify and mitigate the impact of a current or proposed initiative on health inequities. Despite education efforts in both the clinical and public health settings, practitioners have found implementation and the use of evidence in completing equity focussed assessment tools to be challenging. We conducted a realist evaluation of evidence use in EFHIA in three phases: 1) developing propositions informed by a literature scan, existing theoretical frameworks, and stakeholder engagement; 2) data collection at four case study sites using online surveys, semi-structured interviews, document analysis, and observation; and 3) a realist analysis and identification of context-mechanism-outcome patterns and demi-regularities. We identified limited use of academic evidence in EFHIA with two explanatory demi-regularities: 1) participants were unable to "identify with" academic sources, acknowledging that evidence based practice and use of academic literature was valued in their organization, but seen as less likely to provide answers needed for practice and 2) use of academic evidence was not associated with a perceived "positive return on investment" of participant energy and time. However, we found that knowledge brokering at the local site can facilitate evidence familiarity and manageability, increase user confidence in using evidence, and increase the likelihood of evidence use in future work. The findings of this study provide a realist perspective on evidence use in practice, specifically for EFHIA. These findings can inform ongoing development and refinement of various knowledge translation interventions, particularly for practitioners delivering front-line public health services.
机译：符合股票健康影响评估（EFHIA）可以作为框架和工具，支持用户融合与健康权益有关的数据，信息和证据，以确定和减轻当前或提出卫生倡议对卫生不公平的影响。尽管临床和公共卫生环境中的教育努力，从业人员已经找到了实施和在完成股票专注的评估工具方面的证据来充满挑战。我们在三个阶段进行了依据依据使用的现实主义评估：1）文献扫描，现有理论框架和利益相关者参与了解的发展主张; 2）数据收集在四个案例研究网站使用在线调查，半结构性访谈，文档分析和观察; 3）背景 - 机制 - 结果模式和戏剧规律的现实分析和识别。我们确定了有限地利用学术证据在efhia中有两个解释性的demi-narmities：1）参与者无法“确定”学术来源，承认基于证据的实践和学术文学的使用在其组织中受到了价值，但视为不太可能提供实践所需的答案和2）学术证据的使用与参与者能量和时间的感知“积极投资回报率”无关。但是，我们发现在当地网站上的知识经纪可以促进证据熟悉和可管理性，提高用户对使用证据的信心，并增加未来工作中证据使用的可能性。本研究的调查结果为实践中的证据，特别是为efhia提供了现实主义的视角。这些调查结果可以为正在进行的发展和改进各种知识翻译干预措施，特别是对于提供前线公共卫生服务的从业者。

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