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A scoping review of the uses and institutionalisation of knowledge for health policy in low- and middle-income countries.
Health Research Policy and Systems ( IF 4.139 ) Pub Date : 2020-01-20 , DOI: 10.1186/s12961-019-0522-2
Adam D Koon 1, 2 , Lauren Windmeyer 3, 4 , Maryam Bigdeli 5 , Jodi Charles 6 , Fadi El Jardali 7 , Jesse Uneke 8 , Sara Bennett 1
Affiliation  

There is growing interest in how different forms of knowledge can strengthen policy-making in low- and middle-income country (LMIC) health systems. Additionally, health policy and systems researchers are increasingly aware of the need to design effective institutions for supporting knowledge utilisation in LMICs. To address these interwoven agendas, this scoping review uses the Arskey and O'Malley framework to review the literature on knowledge utilisation in LMIC health systems, using eight public health and social science databases. Articles that described the process for how knowledge was used in policy-making, specified the type of knowledge used, identified actors involved (individual, organisation or professional), and were set in specific LMICs were included. A total of 53 articles, from 1999 to 2016 and representing 56 countries, were identified. The majority of articles in this review presented knowledge utilisation as utilisation of research findings, and to a lesser extent routine health system data, survey data and technical advice. Most of the articles centered on domestic public sector employees and their interactions with civil society representatives, international stakeholders or academics in utilising epistemic knowledge for policy-making in LMICs. Furthermore, nearly all of the articles identified normative dimensions of institutionalisation. While there is some evidence of how different uses and institutionalisation of knowledge can strengthen health systems, the evidence on how these processes can ultimately improve health outcomes remains unclear. Further research on the ways in which knowledge can be effectively utilised and institutionalised is needed to advance the collective understanding of health systems strengthening and enhance evidence-informed policy formulation.

中文翻译:

对中低收入国家卫生政策的知识使用和制度化进行范围界定审查。

人们越来越关注不同形式的知识如何能够加强中低收入国家(LMIC)卫生系统的决策。此外,卫生政策和系统研究人员越来越意识到需要设计有效的机构来支持中低收入国家的知识利用。为了解决这些相互交织的议程,此范围界定审查使用Arskey和O'Malley框架,通过八个公共卫生和社会科学数据库,对LMIC卫生系统中知识利用的文献进行了回顾。文章描述了在决策中如何使用知识的过程,指定了使用的知识的类型,确定了相关参与者(个人,组织或专业人士)以及在特定的中低收入国家中设置的文章。从1999年到2016年,共有56篇文章,代表56个国家/地区,被确定。本综述中的大多数文章都将知识利用作为研究结果的利用,并在较小程度上介绍了常规卫生系统数据,调查数据和技术建议。大多数文章集中于国内公共部门雇员以及他们与民间社会代表,国际利益相关者或学者在利用认知知识进行中低收入国家决策中的互动。此外,几乎所有文章都确定了制度化的规范维度。尽管有一些证据表明知识的不同使用和制度化可以如何加强卫生系统,但是关于这些过程如何最终改善卫生结果的证据仍不清楚。
更新日期:2020-04-22
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