Cardona Alvaro, Nieto Emmanuel, Restrepo Román, Sierra Oscar, Cárdenas Carlos Enrique, Aguirre Felipe
Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia.
Cad Saude Publica. 2006;22 Suppl:S87-96. doi: 10.1590/s0102-311x2006001300018.
In recent decades there has been an important academic debate on how to transfer research-based knowledge to the health policy-making process. Despite an intensive controversy and various approaches to the problem, there is basic consensus concerning both the academic relevance and the usefulness of further evaluation of concrete experiences that allow conclusions and clarification of what are still confusing issues. The current article discusses a joint research experience by professors and local and regional health policy-makers. The research focused on the socioeconomic conditions, duration of the employment/unemployment cycle, and features of health insurance for workers that lost their jobs in the Greater Metropolitan "Valle de Aburrá" Area (Antioquia, Colombia) in 2005, as the basis for a proposal to guarantee the maintenance of health insurance for these workers. The potentialities and difficulties of the interactive process are analyzed. The article is also intended to elucidate how scientific outcomes influence policymaking in health, as well as the difficulties imposed by concrete reality and the political process for implementing the innovative proposal.
近几十年来，关于如何将基于研究的知识转化为卫生政策制定过程，一直存在着重要的学术争论。尽管对此问题存在激烈的争议和各种不同的方法，但对于具体经验的进一步评估在学术相关性和实用性方面已达成基本共识，这些经验有助于得出结论并澄清仍然令人困惑的问题。本文讨论了教授与地方和区域卫生政策制定者的一项联合研究经验。该研究聚焦于2005年在大首都“阿布拉山谷”地区（哥伦比亚安蒂奥基亚省）失业工人的社会经济状况、就业/失业周期时长以及健康保险特征，以此作为保障这些工人健康保险持续覆盖提议的基础。分析了互动过程的潜力和困难。本文还旨在阐明科学成果如何影响卫生政策制定，以及具体现实和政治进程对实施创新提议所带来的困难。
