将实施科学 (IS) 置于地位:一个概念框架,旨在整合来自黑色激进传统的学术
Cory D Bradley1, Whitney C Irie2, Elvin H Geng1
1Center for Dissemination and Implementation in the Institute for Public Health at Washington University School of Medicine in St. Louis, St. Louis, MO, United States.
Frontiers in public health
|January 26, 2024
概括
实施科学必须解决系统性种族主义,以实现健康公平. 整合黑人激进传统框架可以拆除压迫性系统,改善差异人口的健康结果.
科学领域:
- 实施科学 实施科学
- 健康 公平 研究 健康 公平 研究
- 批判性种族理论 批判性种族理论
背景情况:
- 实施科学旨在弥合基于证据的干预措施与实践之间的差距.
- 当前在实施科学中的话语显示了关于种族差异的认识系统缺陷.
- 现有的方法往往无法识别差异的系统和历史生产.
研究的目的:
- 批评实施科学领域对反种族主义和反殖民主义学术的不充分参与.
- 建议整合来自黑人激进传统 (BRT) 和批判哲学的框架,以解决种族不平等问题.
- 重新调整实施研究以集中边缘化观点和拆除压迫性系统.
主要方法:
- 实施科学的学科自我批评.
- 对解决种族差异的认识系统缺陷的分析.
- 借鉴来自黑人激进传统,批判性种族理论和社会认识论的学术成果.
主要成果:
- 目前的实施科学风险是脱离上下文的分析和信息不足的股权方法.
- 关键的实施机制,如规范化和动态适配,可能无意中支持压迫性系统.
- 整合抵抗和认识正义的概念,为拆除种族化制度提供了一条道路.
结论:
- 实施科学需要认识系统重新调整,以集中权力动态和种族压迫.
- 采用跨学科的抵抗镜头可以增强对健康正义的贡献.
- 呼吁采取行动,整合关键的哲学观点,以改善差异人口的医疗服务.
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