论文4:对使用逻辑模型和框架进行证据综合的方法论进行系统审查
Damian K Francis1, Ana Beatriz Pizarro2, Nila A Sathe3
1School of Health and Human Performance, Georgia College and State University, Milledgeville, GA, USA; Center for Health and Social Issues, Georgia College and State University, Milledgeville, GA, USA.
Journal of clinical epidemiology
|October 31, 2024
概括
关于种族健康公平的证据综合很少使用以公平为中心的框架和逻辑模型. 需要更多的实际指导来改善对健康公平的研究的框架和解释.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 证据综合 证据综合
背景情况:
- 种族健康差异仍然存在,需要有针对性的干预措施.
- 以公平为重点的框架和逻辑模型可以指导卫生干预措施的开发和评估.
- 了解这些工具在证据综合中的应用对于推进种族健康平等至关重要.
研究的目的:
- 确定针对种族健康平等的卫生干预措施的证据综合.
- 确定这些综合利用了以股权为中心的框架和逻辑模型的程度.
- 描述现有的以股权为重点的框架和逻辑模型.
主要方法:
- 在三个文献数据库中进行了全面的搜索.
- 与各种利益相关者进行了半结构化采访.
- 针对关键卫生组织的网站进行了有针对性的搜索,以确定相关的框架和逻辑模型.
- 使用定性方法来分析已识别的框架和逻辑模型的特征.
主要成果:
- 在153个关于种族健康平等的鉴定证据综合中,只有两个明确使用逻辑模型.
- 确定了七个健康公平框架,按目的分类 (研究,政策,数字健康,临床服务).
- 只有两个框架提供了关于整合到证据综合的指导;大多数专注于将种族/种族主义定义为健康的社会决定因素.
结论:
- 在处理种族健康平等的证据综合中,逻辑模型和框架的利用有限.
- 在应用框架的可用性方面存在很大的差距,以指导这种合成的框架,进行和解释.
- 需要进一步开发实用框架,以加强种族健康平等的研究.
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