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政府参与的卫生公平跨部门行动范围综述

A scoping review of intersectoral action for health equity involving governments.

机构信息

The Centre for Research on Inner City Health, The Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Canada.

出版信息

Int J Public Health. 2012 Feb;57(1):25-33. doi: 10.1007/s00038-011-0302-4. Epub 2011 Sep 20.

Abstract

OBJECTIVES

We carried out a scoping review to identify and describe scholarly and grey literature referring to global cases of intersectoral action for health equity featuring a central role for governments.

METHODS

The scoping review process systematically identified articles describing one or more cases of intersectoral action. Each article was then described in terms of the context of initiation, as well as the strategies, actors, tools and structures used to implement these initiatives.

RESULTS

128 unique articles were found describing intersectoral action across 43 countries. A majority of the cases appear to have initiated in the last decade. A variety of approaches were used to carry out intersectoral action, but articles varied in the richness of information included to describe different aspects of these initiatives.

CONCLUSION

With this examination of cases across multiple countries and contexts, we can begin to clarify how intersectoral approaches to health equity have been used; however, the description of these complex, multi-actor processes in the published documents was generally superficial and sometimes entirely absent and improvements in such documentation in future publications is warranted. Richer sources of information such as interviews may facilitate a more comprehensive understanding from the perspective of multiple sectors involved.

摘要

目的

我们进行了范围综述,以确定和描述全球涉及政府发挥核心作用的卫生公平部门间行动的学术和灰色文献。

方法

范围综述过程系统地确定了描述一个或多个部门间行动的文章。然后,根据启动背景以及用于实施这些举措的战略、参与者、工具和结构,对每篇文章进行描述。

结果

共发现 128 篇描述 43 个国家部门间行动的独特文章。大多数案例似乎是在过去十年中开始的。为了开展部门间行动,使用了各种方法,但文章在描述这些举措不同方面的信息丰富程度上存在差异。

结论

通过对多个国家和背景下的案例进行审查,我们可以开始阐明如何使用部门间方法来实现卫生公平;然而,在已发表的文件中,对这些复杂的多行为者进程的描述通常是肤浅的,有时甚至完全缺失,因此未来出版物中此类文件的改进是必要的。更丰富的信息来源,如访谈,可能有助于从多个相关部门的角度更全面地理解。

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