Plamondon Katrina, Shahram Sana Z
Faculty of Health & Social Development, School of Nursing, University of British Columbia, Canada.
Equity Science Learning Lab, School of Nursing, University of British Columbia, Canada.
Dialogues Health. 2024 Nov 23;5:100200. doi: 10.1016/j.dialog.2024.100200. eCollection 2024 Dec.
When it comes to advancing equity, across the health sciences, efforts repeatedly target interventions on those most burdened by inequities rather than the systems or structures that give rise to inequities. This mismatch, in and of itself, is an important determinant of equity. While many conceptual models draw collective attention to deeper, structural causes (e.g., social, political, and commercial determinants of health) as the 'what', inattention to questions of 'how'-or the collective practices that serve to connect what is known with what is done-are like a wedge holding this gap in place. In this article, we use an exaggerated metaphor of mismatched task-and-tool to provoke critically reflective dialogue about collective attachment to scholarship and practices incoherent with our own body of knowledge. We offer a set of five practices easily integrated in any aspect of work related to advancing equity, through everyday actions anyone (anywhere) can take to purposefully act from an evidence and equity-informed position.
在推进公平性方面，在整个健康科学领域，相关努力一再将干预措施的目标指向那些受不公平现象影响最严重的人群，而非导致不公平现象的系统或结构。这种不匹配本身就是公平性的一个重要决定因素。虽然许多概念模型都将集体注意力引向更深层次的结构性原因（例如健康的社会、政治和商业决定因素），即“是什么”，但对“如何做”的问题缺乏关注，或者说对将已知与所做之事联系起来的集体实践缺乏关注，就像一个楔子，使这种差距得以存在。在本文中，我们使用一个关于任务与工具不匹配的夸张隐喻，来引发关于集体执着于与我们自身知识体系不一致的学术研究和实践的批判性反思对话。我们提供了一套五种实践方法，通过任何人（在任何地方）都可以采取的日常行动，能够轻松融入与推进公平性相关的工作的任何方面，从而有目的地从基于证据和公平性的立场出发采取行动。
