Department of Ecosystem and Public Health, Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada.
Glob Health Action. 2010 Jul 9;3. doi: 10.3402/gha.v3i0.5188.
This paper strives to develop a pragmatic view of the scope of practice and core characteristics of global health research (GHR) by examining the activities of 14 Canadian-funded global health teams that were in the process of implementing research programs.
Information was collected by a reflective exploration of team proposals and progress reports, a content analysis of the outputs from an all-team meeting and review of the literature.
Teams adopted equity-centered, problem-focused, systems-based approaches intended to find upstream determinants that could make people more resilient to social and ecological factors impacting their health. Long-term visions and time frames were needed to develop and solidify fully functional interdisciplinary, multinational, multicultural partnerships. The implementation of research into practice was a motivating factor for all teams, but to do this, they recognized the need for evidence-based advice on how to best do this. Traditional measures of biomedical research excellence were necessary but not sufficient to encompass views of excellence of team-based interdisciplinary research, which includes features like originality, coherence and cumulative contributions to fields of study, acceptance by peers and success in translating research into gains in health status. An innovative and nuanced approached to GHR ethics was needed to deal with some unique ethical issues because the needs for GHR were not adequately addressed by institutional biomedical research ethics boards. Core competencies for GHR researchers were a blend of those needed for health promotion, population health, international development, sustainable development, and systems science.
Developing acceptable and meaningful ways to evaluate the short-term contributions for GHR and forecast its long-term impacts is a strategic priority needed to defend decisions being made in GHR development. Planning and investing to support the underlying GHR elements and competencies that allow for adaptive, innovative, and supportive research partnerships to achieve 'health for all' are more likely to have long-term impacts than building research strategies around specific diseases of interest.
通过考察 14 个加拿大资助的全球卫生团队在实施研究项目过程中的活动，从实用主义的角度来探讨全球卫生研究（GHR）的实践范围和核心特征。
通过对团队提案和进展报告的反思性探索、对一次全体团队会议成果的内容分析以及对文献的回顾，收集信息。
团队采用以公平为中心、以问题为重点、以系统为基础的方法，旨在寻找上游决定因素，使人们更能抵御影响其健康的社会和生态因素。需要有长期的愿景和时间框架来发展和巩固功能齐全的跨学科、跨国界、多元文化的伙伴关系。所有团队都将研究转化为实践作为一个激励因素，但要做到这一点，他们认识到需要有循证建议，了解如何最好地做到这一点。传统的生物医学研究卓越衡量标准是必要的，但不足以涵盖基于团队的跨学科研究卓越的观点，后者包括原创性、一致性和对研究领域的累积贡献、同行认可以及成功将研究转化为健康状况的改善。需要有一种创新和细致入微的全球卫生研究伦理方法来处理一些独特的伦理问题，因为全球卫生研究的需求不能被机构生物医学研究伦理委员会充分解决。全球卫生研究人员的核心能力是健康促进、人口健康、国际发展、可持续发展和系统科学所需能力的融合。
制定可接受和有意义的方法来评估全球卫生研究的短期贡献并预测其长期影响，是捍卫全球卫生研究发展决策所必需的战略重点。规划和投资以支持全球卫生研究的基本要素和能力，使适应、创新和支持性的研究伙伴关系能够实现“人人健康”，比围绕特定感兴趣的疾病制定研究战略更有可能产生长期影响。
