Department of International Health, Care and Public Health Research Institute - CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Health Res Policy Syst. 2024 Apr 29;22(1):52. doi: 10.1186/s12961-024-01143-5.
Knowledge Translation (KT) aims to convey novel ideas to relevant stakeholders, motivating their response or action to improve people's health. Initially, the KT literature focused on evidence-based medicine, applying findings from laboratory and clinical research to disease diagnosis and treatment. Since the early 2000s, the scope of KT has expanded to include decision-making with health policy implications.This systematic scoping review aims to assess the evolving knowledge-to-policy concepts, that is, macro-level KT theories, models and frameworks (KT TMFs). While significant attention has been devoted to transferring knowledge to healthcare settings (i.e. implementing health policies, programmes or measures at the meso-level), the definition of 'context' in the realm of health policymaking at the macro-level remains underexplored in the KT literature. This study aims to close the gap.A total of 32 macro-level KT TMFs were identified, with only a limited subset of them offering detailed insights into contextual factors that matter in health policymaking. Notably, the majority of these studies prompt policy changes in low- and middle-income countries and received support from international organisations, the European Union, development agencies or philanthropic entities.
知识转化（KT）旨在向相关利益攸关方传达新的想法，激发他们的反应或行动，以改善人们的健康。最初，KT 文献侧重于循证医学，将实验室和临床研究的发现应用于疾病的诊断和治疗。自 21 世纪初以来，KT 的范围已经扩大到包括具有健康政策影响的决策。本系统范围审查旨在评估不断发展的知识到政策概念，即宏观层面的 KT 理论、模型和框架（KT TMFs）。虽然已经非常关注将知识转移到医疗保健环境中（即在中观层面实施卫生政策、方案或措施），但在 KT 文献中，健康决策制定宏观层面的“背景”定义仍未得到充分探讨。本研究旨在弥补这一空白。共确定了 32 个宏观层面的 KT TMF，其中只有有限的一部分详细探讨了对健康决策有重要影响的背景因素。值得注意的是，这些研究中的大多数都促使中低收入国家发生政策变化，并且得到了国际组织、欧盟、发展机构或慈善实体的支持。
