Faculty of Law, McGill University, 3644 Peel St, Montreal, QC, H3A 1W9, Canada.
Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, M5T 3M7, Canada.
Glob Health Res Policy. 2023 Jan 17;8(1):1. doi: 10.1186/s41256-023-00284-4.
Over the years, civil society organizations (CSOs) have made tremendous efforts to ensure that state policies, programmes, and actions facilitate equitable access to healthcare. While CSOs are key actors in the realization of the right to health, a systematic understanding of how CSOs achieve policy change is lacking. Implementation science, a discipline focused on the methods and strategies facilitating the uptake of evidence-based practice and research can bring relevant, untapped methodologies to understand how CSOs drive health reforms. This article argues for the use of evidence-based strategies to enhance civil society action. We hold that implementation science can offer an actionable frame to aid CSOs in deciphering the mechanisms and conditions in which to pursue rights-based actions most effectively. More empirical studies are needed to generate evidence and CSOs have already indicated the need for more data-driven solutions to empower activists to hold policymakers to account. Although implementation science may not resolve all the challenges CSOs face, its frameworks and approaches can provide an innovative way for organizations to chart out a course for reform.
多年来，民间社会组织（CSO）为确保国家政策、方案和行动促进公平获得医疗保健做出了巨大努力。虽然民间社会组织是实现健康权的关键行为者，但对于民间社会组织如何实现政策变革，我们还缺乏系统的理解。实施科学是一门专注于促进循证实践和研究采用的方法和策略的学科，它可以为理解民间社会组织如何推动卫生改革带来相关的、未被开发的方法。本文主张采用基于证据的策略来加强民间社会的行动。我们认为，实施科学可以提供一个可操作的框架，帮助民间社会组织破译在何种机制和条件下最有效地采取基于权利的行动。需要更多的实证研究来生成证据，民间社会组织已经表示需要更多的数据驱动解决方案，以使活动家能够要求政策制定者负责。虽然实施科学可能无法解决民间社会组织面临的所有挑战，但它的框架和方法可以为组织提供一种创新的方式，为改革制定路线。
