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全球健康公平学习:对美国五个全球学习站点的调查

Global Learning for Health Equity: A Survey of Five Global Learning Sites in the United States.

作者信息

Shin Sonya S, Shah Ami, North-Kabore Janette, Rowthorn Virginia, Fiori Kevin P, Dudding Ruth, Plum Rev Alexander, Parke Dana M, George Carmen, Thomas Stephen, Pinkett Randal, Porter Keshia M Pollack, Sirois Adam, Cordeiro Vera, Ogbolu Yolanda

机构信息

Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.

Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Community Health Equity Res Policy. 2025 Apr;45(3):275-290. doi: 10.1177/2752535X231210046. Epub 2023 Nov 10.

Abstract

Global learning is the practice of adopting and adapting global ideas to local challenges. To advance the field of global learning, we performed a case study of five communities that had implemented global health models to advance health equity in a U.S. setting. Surveys were developed using a Consolidated Framework for Implementation Research (CFIR) framework, and each site completed surveys to characterize their global learning experience with respect to community context, the learning and implementation process, implementation science considerations, and health equity. The immense diversity of sites and their experiences underscored the heterogenous nature of global learning. Nonetheless, all cases highlighted core themes of addressing social determinants of health through strong community engagement. Cross-sector participation and implementation science evaluation were strategies applied by many but not all sites. We advocate for continued global learning that advances health equity and fosters equitable partnerships with mutual benefits to origination and destination sites.

摘要

全球学习是指采用全球理念并使之适用于本地挑战的实践。为推动全球学习领域的发展,我们对五个社区进行了案例研究,这些社区在美国实施了全球健康模式以促进健康公平。我们使用实施研究综合框架(CFIR)开发了调查问卷,每个站点都完成了调查,以描述其在社区背景、学习与实施过程、实施科学考量以及健康公平方面的全球学习经历。各站点及其经历的巨大多样性凸显了全球学习的异质性。尽管如此,所有案例都突出了通过强有力的社区参与来解决健康的社会决定因素这一核心主题。跨部门参与和实施科学评估是许多但并非所有站点采用的策略。我们倡导持续的全球学习,以促进健康公平,并在起源地和目的地站点之间建立互利的公平伙伴关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5422/11863507/483fe022588d/10.1177_2752535X231210046-fig1.jpg

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