超越证据:演员动态和权力如何塑造知识 翻译为肯尼亚的卫生政策
Fatuma Hassan Guleid1, Edwine Barasa1,2, Gilbert Abotisem Abiiro3
1Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
Health policy and planning
|July 31, 2025
概括
政策参与者通过导航机构角色,利益和权力动态,对决策的知识转化 (KT) 产生重大影响. 了解这些关系方面对于在低收入和中等收入国家有效使用证据至关重要.
科学领域:
- 卫生政策 卫生政策
- 知识 翻译 翻译
- 社会科学 社会科学 社会科学
背景情况:
- 对政策制定的知识转化 (KT) 努力往往忽视了政策参与者的影响.
- 现有的知识技术方法主要集中在证据传播上,忽视了政策过程中的复杂相互作用.
研究的目的:
- 检查政策参与者如何,为什么,以及有什么影响,在卫生政策制定中塑造知识翻译 (KT).
- 解决在低收入和中等收入国家了解知识技术的关系层面的差距.
主要方法:
- 肯尼亚的有目的和雪球采样.
- 通过深入采访 (n=32),观察 (n=52小时) 和文档审查 (n=34) 收集数据.
- 基于以演员为中心的制度主义,PowerCube,边界工作和联合制作框架的分析.
主要成果:
- 参与者对知识技术的影响是由机构授权,角色和感知权威所塑造的.
- 参与跨越边界,提供证据或基于机构灵活性,资源和利益的抵抗的行为者.
- 进入政策空间决定了证据的可见性和合法性,突出了权力结构.
结论:
- 知识翻译 (KT) 是一种关系过程,受政治和制度结构的影响.
- 重构知识技术以整合关系和结构维度,包括参与者和权力动态,是必要的.
- 研究提供了对参与者,背景和权力相互作用在塑造KT结果的新见解.
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