Secretaría de Integración Social, Alcaldía de Palmira, Palmira, Colombia
Centro Internacional de Entrenamiento e Investigaciones Medicas -CIDEIM-, SIHI LAC Hub, Universidad Icesi, Cali, Colombia.
BMJ Open. 2022 Jun 9;12(6):e063205. doi: 10.1136/bmjopen-2022-063205.
Understanding the Latin American Social Innovation in Health (SIH) approach requires a process of typifying and identifying main criteria of the approach based on the employed practices of different health initiatives implemented throughout the region. This article presents a descriptive analysis of the main criteria of SIH.
To identify the theoretical and methodological developments of SIH between the years 2013 and 2018, a scoping review was conducted using a mixed approach. 80 texts in English, Spanish and Portuguese were screened through a reflexive analysis process involving intratextual and intertextual reading.
The documentary research covered journals, books and higher degree theses addressing experiences or theoretical constructs developed in the Latin American region.
The approaches identified in the studied initiatives were mutually complementary; moreover, based on the typification of the main criteria between approaches and implementation proposals, the convergences and divergences between SIH and other approaches found in the sample were identified. In most cases, the different approaches in the sample are committed to initiatives that include some degree of innovation, improve access to healthcare services and recognise in one way or another a public policy in line with the Sustainable Development Goals (SDGs).
Eighteen characteristic criteria were identified, of which nine particularly differentiate SIH from other approaches conceptually and methodologically. Further work is essential to eliminate the vague delimitation between social and technological aspects of innovation.
The findings indicate that although the SIH concept is in construction, it is advancing down a path of recognition in the region, defining its role as an important field of study on social transformation in health and development.
理解拉丁美洲社会创新健康（SIH）方法需要一个对不同健康倡议实践进行分类和确定该方法主要标准的过程，这些倡议在该地区都有实施。本文呈现了 SIH 的主要标准的描述性分析。
为了在 2013 年至 2018 年期间确定 SIH 的理论和方法发展，我们使用混合方法进行了范围综述。通过涉及文本内和文本间阅读的反思分析过程，筛选了 80 篇英文、西班牙文和葡萄牙文的文本。
文献研究涵盖了期刊、书籍和高等学位论文，这些论文涉及在拉丁美洲地区发展的经验或理论构建。
研究中确定的方法是相互补充的；此外，基于方法和实施建议之间主要标准的分类，确定了 SIH 与样本中发现的其他方法之间的趋同和分歧。在大多数情况下，样本中的不同方法都致力于包含一定程度创新的倡议，改善医疗服务的获取，并以某种方式承认符合可持续发展目标（SDGs）的公共政策。
确定了 18 个特征标准，其中 9 个标准在概念和方法上特别区分了 SIH 与其他方法。进一步的工作对于消除创新的社会和技术方面之间的模糊界限是必要的。
研究结果表明，尽管 SIH 概念正在构建中，但它正在沿着在该地区得到认可的道路前进，确定了其作为健康和发展领域社会转型的重要研究领域的作用。
