Raphael Dennis, Labonte Ronald, Colman Ronald, Hayward Karen, Torgerson Renee, Macdonald Jennifer
School of Health Policy and Management, York University, ON.
Can J Public Health. 2006 Sep-Oct;97 Suppl 3:S16-23, S18-26.
The goal of this research project was to identify and suggest means of filling the gaps/needs in Canadian research activity and public policy action on the income and health relationship.
The research consisted of an environmental scan and analysis of 321 empirical research pieces from Canada (n = 241), the United Kingdom (n = 40) and Finland (n = 40) followed by a systematic gaps/needs analysis of these studies by members of three advisory committees, consisting of researchers and policy advocates. These data were complemented by key informant interviews with researchers from Canada, the UK and Finland. The gaps/needs were then reviewed and assigned priority rankings by members of the three advisory committees.
Numerous gaps/needs in Canadian research on income and health were apparent. They fell into five main areas: (a) training and capacity building in addressing income as a health determinant; (b) developing adequate data and measures; (c) researching specific substantive health issues; (d) researching specific public policy areas; and (e) developing an understanding of the pathways and mechanisms mediating the income and health relationship. Members of the advisory committees achieved a high level of agreement concerning these gaps/needs and means of reducing them.
The Canadian Institutes of Health Research (CIHR) and the Institute of Population Health should target specific research initiatives to help fill the identified gaps in knowledge. They should also work together with public policy institutes to synthesize findings concerning income, its distribution, and health, and help distribute these findings to the public in general and policy-makers in particular.
本研究项目的目标是识别并提出填补加拿大关于收入与健康关系的研究活动及公共政策行动中的差距/需求的方法。
该研究包括对来自加拿大（n = 241）、英国（n = 40）和芬兰（n = 40）的321篇实证研究进行环境扫描和分析，随后由三个咨询委员会的成员（包括研究人员和政策倡导者）对这些研究进行系统的差距/需求分析。这些数据通过对来自加拿大、英国和芬兰的研究人员进行关键信息访谈得到补充。然后，三个咨询委员会的成员对这些差距/需求进行审查并确定优先等级。
加拿大关于收入与健康的研究中存在众多差距/需求。它们主要分为五个领域：（a）将收入作为健康决定因素进行研究的培训和能力建设；（b）开发充分的数据和测量方法；（c）研究特定的实质性健康问题；（d）研究特定的公共政策领域；（e）深入了解调节收入与健康关系的途径和机制。咨询委员会成员就这些差距/需求以及减少差距的方法达成了高度共识。
加拿大卫生研究院（CIHR）和人口健康研究所应针对特定的研究倡议，以填补已识别的知识空白。它们还应与公共政策机构合作，综合有关收入、其分配和健康的研究结果，并帮助将这些结果传播给普通公众，特别是政策制定者。
