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Knowledge exchange in crisis settings: A scoping review.

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  • 1Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom.

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Knowledge exchange (KE) in public health must adapt to intersecting crises like pandemics and climate change. Prioritizing social determinants of health and diverse knowledge, including lived experiences, is crucial for reducing health inequalities during crises.

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Area of Science:

  • Public Health
  • Health Systems Research
  • Knowledge Exchange

Background:

  • Public health operates amidst intersecting crises, including pandemics, climate change, and social inequalities.
  • These crises significantly impact health outcomes and exacerbate health disparities.
  • Understanding knowledge exchange (KE) is vital for leveraging social determinants of health (SDOH) interventions during crises.

Purpose of the Study:

  • To understand and compare knowledge exchange (KE) processes across various crisis types.
  • To explore how knowledge on improving social determinants of health can be utilized during crises.
  • To strengthen public health systems and reduce health inequalities.

Main Methods:

  • A scoping review was conducted to examine KE on improving SDOH during different crises.
  • Electronic searches were performed across multiple databases: Medline, EMBASE, Global Health, Scopus, and Web of Science.
  • Studies were identified and synthesized to understand KE practices in crisis contexts.

Main Results:

  • Eighty-six studies were included, primarily focusing on pandemic and environmental crises.
  • Fewer studies addressed KE in technical, terror-related, or humanitarian crises.
  • Most KE focused on immediate response, with limited attention to long-term impacts and inclusion of public/lay knowledge.

Conclusions:

  • KE processes must acknowledge crisis complexity and prioritize health inequalities.
  • Systems or complexity-informed methods can enhance KE planning and evaluation.
  • Integrating diverse knowledge, including lived experiences, is essential for crisis response and SDOH action.