Figueroa Roger, Verma Rahul
Division of Nutritional Sciences, College of Human Ecology, Cornell University, Ithaca, New York, USA.
Transl Behav Med. 2023 May 13;13(5):338-342. doi: 10.1093/tbm/ibac116.
In this position paper, a theoretical framework is proposed to formulate engaged, evidence-based health policy based on the priorities of constituents. An initial literature review was conducted to gain insight on the gaps in knowledge. Three emergent domains were identified: advocacy, research, and policymaking. The inputs and intermediates to the final output (equitable, evidence-based health policy outcomes) were identified and further elaborated upon in each corresponding section of the paper. Additionally, the main objective of each domain based on the literature review and the implications of each step were noted. Researchers have been identified as crucial to the education of policymakers to ultimately produce informed, evidence-based policy. Community advocates and researchers must attempt to advocate for policy issues as the ultimate role of policymakers in this process necessitates effective engagement to promote political will in the policymaking process. To do so, community advocates must scale-up from the individual to coalitions with strong leadership. In conjunction with a policy champion, these efforts by constituents (community advocates and researchers) would result in the most effective modes of policy development and implementation. The Constituent-driven Policy Advocacy Model (CPAM) introduced in this paper creates the potential for a new precedent in policymaking, in which advocacy, community engagement, evidence synthesis and evaluation, as well as science communication are common practices, leading to more sensitive, targeted, and equitable policy outcomes.
在本立场文件中，我们提出了一个理论框架，以根据选民的优先事项制定积极参与、基于证据的卫生政策。我们进行了初步的文献综述，以深入了解知识空白。确定了三个新兴领域：宣传、研究和政策制定。在论文的每个相应部分中，我们确定并进一步阐述了最终产出（公平、基于证据的卫生政策成果）的投入和中间环节。此外，基于文献综述指出了每个领域的主要目标以及每一步骤的影响。研究人员被认为对于教育政策制定者以最终制定明智、基于证据的政策至关重要。社区倡导者和研究人员必须努力倡导政策问题，因为政策制定者在这一过程中的最终作用需要有效的参与，以促进政策制定过程中的政治意愿。为此，社区倡导者必须从个人层面扩大到具有强大领导力的联盟。与政策支持者一起，选民（社区倡导者和研究人员）的这些努力将产生最有效的政策制定和实施模式。本文介绍的选民驱动政策倡导模型（CPAM）为政策制定创造了一个新的先例，其中宣传、社区参与、证据综合与评估以及科学传播成为常见做法，从而带来更敏感、更有针对性和更公平的政策成果。
