Mansouri Arani Mohammad Reza, Zamanzadeh Vahid, Rassouli Maryam, Valizadeh Leila
PhD Candidate in Nursing Education, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
J Educ Health Promot. 2023 Jul 29;12:230. doi: 10.4103/jehp.jehp_1107_22. eCollection 2023.
One of the main issues related to the inefficiency of the health system is the lack of sufficient communication between researchers and health policymakers regarding the exchange of the latest findings and the use of inappropriate evidence to manage cases. The knowledge translation removes this disconnect.
In this comparative study, to obtain appropriate data on the status of knowledge translation, refer to the databases of reputable centers and governments and the knowledge translation models were reviewed in the title of main articles, abstracts, guidelines, and reports of reputable international organizations between 2005 and 2020. The origin of the models was determined, then the countries with the largest number of models were selected and analyzed using Walt and Gilson's "Policy Triangle framework in four dimensions: context, content, process, and actors."
All the three countries have politically, socially, and economically made knowledge translation one of their policy priorities. Iran's centralized health system is a major obstacle. The USA and Canada have clear strategies and coherent and practical infrastructures that implement the knowledge translation in the form of operational plans. In contrast, in Iran, it has been enough to establish the knowledge translation centers at the level of universities and knowledge translation websites. In Iran, the Ministry of Health and universities of medical sciences play a direct role, but in Canada, they also use knowledge broker to apply knowledge.
Iran is building capacity in the field of knowledge translation. That the implementation of interventions with the cooperation of macro policymakers can strengthen it.
卫生系统效率低下的主要问题之一是研究人员与卫生政策制定者之间缺乏关于最新研究成果交流以及在病例管理中使用不当证据的充分沟通。知识转化消除了这种脱节。
在这项比较研究中,为获取有关知识转化状况的适当数据,查阅了知名中心和政府的数据库,并在2005年至2020年期间知名国际组织的主要文章标题、摘要、指南和报告中对知识转化模型进行了综述。确定了模型的来源,然后选择拥有模型数量最多的国家,并使用沃尔特和吉尔森的“政策三角框架的四个维度:背景、内容、过程和行为者”进行分析。
所有这三个国家在政治、社会和经济上都将知识转化作为其政策重点之一。伊朗的集中式卫生系统是一个主要障碍。美国和加拿大有明确的战略以及连贯且实用的基础设施,以运营计划的形式实施知识转化。相比之下,在伊朗,仅在大学层面建立知识转化中心和知识转化网站就足够了。在伊朗,卫生部和医学科学大学发挥直接作用,但在加拿大,他们还利用知识中介来应用知识。
伊朗正在知识转化领域建设能力。宏观政策制定者合作实施干预措施可以加强这一能力。