CIHR Health System Impact Fellowship Alumni, Calgary, Alberta, Canada.
Int J Health Serv. 2021 Oct;51(4):462-473. doi: 10.1177/00207314211024896. Epub 2021 Jun 7.
This rapid scoping review has informed the development of the UN Research Roadmap for the COVID-19 Recovery on the topic of "Ensuring Social Protection and Basic Services." The aim was to provide a robust synthesis of key concepts and existing evidence drawn from a wide range of disciplines to support the identification and appraisal of research priorities. An emergent theme has been the notion that measures implemented in response to COVID-19 merely ameliorate symptoms of entrenched, systemic gender-, age-, and race-based inequity, inequality, and exclusion. Key findings include the critical role of contextual and community-based knowledge for informing the design, development, and delivery of programs, as well as the urgent need for implementation science to move existing knowledge into action. This review also describes how the disruption associated with "shock events" such as the COVID-19 pandemic is often associated with unusually high levels of interest and willingness to invest in programs and policies to strengthen strained systems. As such, an unprecedented window of opportunity exists to leverage measures implemented in response to the COVID-19 pandemic to effect large-scale, sustainable change and thereby increase the resiliency of our interconnected systems for the future.
本快速范围界定审查为联合国关于“确保社会保护和基本服务”的 COVID-19 恢复研究路线图的制定提供了信息。其目的是提供广泛学科中关键概念和现有证据的有力综合,以支持确定和评估研究重点。一个新兴的主题是,针对 COVID-19 采取的措施只是缓解了根深蒂固的、基于性别、年龄和种族的不平等、不平等和排斥现象的症状。主要发现包括:以社区为基础的知识对于告知项目的设计、制定和实施具有重要作用,以及实施科学迫切需要将现有知识转化为行动。本审查还描述了与 COVID-19 大流行等“冲击事件”相关的破坏如何经常与对加强紧张系统的方案和政策的浓厚兴趣和投资意愿相关联。因此,目前存在一个前所未有的机会之窗,可以利用针对 COVID-19 大流行采取的措施来实现大规模、可持续的变革,从而提高我们相互关联的系统未来的弹性。