Knowledge translation: a case study in a public health network in Manguinhos, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E da Silva Miranda ◽  
A C Figueiró ◽  
L Potvin
Keyword(s):  
Public Health ◽  
Knowledge Translation ◽  
Practical Experience ◽  
Public Health Care ◽  
Framework Analysis ◽  
Middle Income ◽  
Working Together ◽  
Structured Outputs ◽  
Post Hoc

Abstract Background This paper presents a post hoc analysis of knowledge translation (KT) actions and strategies implemented by three projects in a sociotechnical network, in Rio de Janeiro, Brazil. In order to assess the actions and practices of knowledge producers (mostly researchers) and knowledge users (residents of Manguinhos) we applied the KT model developed by the Québec Public Health Institute. Methods This case study relied mainly on document analysis (texts produced by the network coordination, meeting minutes and reports, management reports and promotional material), interviews with knowledge producers (N = 10), and focus group with knowledge users (4 participants). Framework analysis was applied to provide clear steps to follow and structured outputs of summarized data. A content analysis of this material used categories such as: project development; KT products elaboration; and interaction between knowledge producers and users. Data were coded based on the KT model to understand whether and how the eight dimensions were implemented. Results The findings reveal that, albeit there were differences among the three cases, the KT dimensions related to the co-construction of knowledge, what to be translated, and how to translate were more extensively implemented. Even though KT was a new concept for most knowledge producers, all three cases had previous practical experience on how to disseminate knowledge in the Territory of Manguinhos. However, dimensions related to KT evaluation and resources were less frequently implemented. Conclusions More attention must be paid to the dimensions involving the feasibility, resources and evaluation of projects. Creating research organizations working together in the KT process with support, infrastructure, theoretical and methodological competences about KT may facilitate the integration of these dimensions. Key messages Through our study, we provide more evidence and progress about how the KT process can be improved in low- and middle-income countries, such as Brazil. We display an overview of the challenges that public health researchers in Brazil have in applying KT strategies to improve the public health care.

On the work of the Scientific Medical Society of Surgeons of the Republic of Tatarstan in 1996

1997 ◽  
Vol 78 (2) ◽  
pp. 158-159
Author(s):  
I. A. Ibatullin ◽  
A. Yu. Anisimov
Keyword(s):  
Public Health ◽  
Health Care ◽  
Practical Experience ◽  
Public Health Care ◽  
Medical Society ◽  
Clinical Observations ◽  
Medical Institutions ◽  
Wide Range ◽  
The Republic

The activity of the oldest scientific medical society of surgeons in Tatarstan is especially relevant in the conditions of the period of profound reforming of the society and the system of public health care that we are going through. Its work is a reliable means of transferring up-to-date information and advanced practical experience from some leading clinics and departments to the widest circle of physicians and teams of medical institutions of surgical profile. At the meetings of NMOH RT the most interesting issues in different branches of surgery and adjacent spheres: anesthesiology, gynecology and oncology were discussed. A wide range of possibilities of Kazan Surgical School was presented in the form of demonstrations of clinical observations and educational and methodological videos.

Case Study: Nontraditional Partners in the Case of Kansas City

2019 ◽  
pp. 445-450
Author(s):  
Scott Hall ◽  
Rex Archer
Keyword(s):  
Public Health ◽  
Policy Change ◽  
Kansas City ◽  
Local Level ◽  
Health Department ◽  
Chamber Of Commerce ◽  
Working Together ◽  
Multiple Jurisdictions

This chapter demonstrates the power of non-traditional partnerships to achieve policy change at the local level. The chapter's review of the work of the Kansas City Chamber of Commerce and the KCMO Health Department to motivate adoption of Tobacco 21 initiatives in multiple jurisdictions highlights the importance of business and public health working together.

scholarly journals What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

2019 ◽  
Vol 4 (5) ◽  
pp. e001808 ◽  
Author(s):  
Michael Bath ◽  
Tom Bashford ◽  
J E Fitzgerald
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Low Income ◽  
International Health ◽  
Surgical Care ◽  
Global Surgery ◽  
Middle Income ◽  
Geographical Regions ◽  
Working Together ◽  
Major Factors

‘Global surgery’ is the term adopted to describe a rapidly developing multidisciplinary field aiming to provide improved and equitable surgical care across international health systems. Sitting at the interface between numerous clinical and non-clinical specialisms, it encompasses multiple aspects that surround the treatment of surgical disease and its equitable provision across health systems globally. From defining the role of, and need for, optimal surgical care through to identifying barriers and implementing improvement, global surgery has an expansive remit. Advocacy, education, research and clinical components can all involve surgeons, anaesthetists, nurses and allied healthcare professionals working together with non-clinicians, including policy makers, epidemiologists and economists. Long neglected as a topic within the global and public health arenas, an increasing awareness of the extreme disparities internationally has driven greater engagement. Not necessarily restricted to specific diseases, populations or geographical regions, these disparities have led to a particular focus on surgical care in low-income and middle-income countries with the greatest burden and needs. This review considers the major factors defining the interface between surgery, anaesthesia and public health in these settings.

Clean Household Energy for Cooking in Low- and Middle- Income Settings: An Interdisciplinary Case Study Project to Advance Knowledge Translation

2018 ◽  
Vol 2018 (1) ◽  
Author(s):  
Ashlinn K Quinn ◽  
Nigel Bruce ◽  
Elisa Puzzolo ◽  
Katherine L Dickinson ◽  
Rachel Sturke ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Middle Income ◽  
Household Energy ◽  
Advance Knowledge ◽  
Low And Middle Income

scholarly journals The evolution of an asset-based community led alcohol harm intervention in the North West England

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P A Cook ◽  
C Ure ◽  
S C Hargreaves ◽  
E Burns ◽  
M Coffey ◽  
...  
Keyword(s):  
Public Health ◽  
Community Development ◽  
Social Deprivation ◽  
New Technology ◽  
Descriptive Analysis ◽  
Lessons Learned ◽  
Framework Analysis ◽  
North West ◽  
Asset Based Community Development

Abstract Background Communities in Charge of Alcohol (CICA) is an Asset Based Community Development (ABCD) place-based approach to reducing alcohol harm. Local volunteers, from areas with multiple indicators of deprivation, train to become accredited 'Alcohol Health Champions' (AHCs). AHCs, supported by a local co-ordinator, provide brief opportunistic advice at an individual level and mobilise action on alcohol availability through influencing licensing decisions at a community level. CICA is the first programme we are aware of globally that has attempted to build local AHC capacity. Here we explore lessons learned from four case study areas (of the original ten) that persisted with the intervention for more than 12 months. Methods A case study approach to investigate the context, acceptability, facilitators and barriers to maintaining CICA. Descriptive analysis of ongoing recruitment of champions, numbers of training events and activity of champions (as reported by area coordinators). Framework analysis of interviews with AHCs and stakeholders. Results CICA has increased public health capacity by training 123 AHCs in its first year. The four areas that continued with CICA have trained a further 34. The different approaches in the four areas include: embedding champions in wider health champion/volunteering projects; innovative use of new technology (portable fibroscan); expansion into different geographical areas. AHCs and coordinators report significant social value from participation in CICA. Conclusions The likelihood of embedding CICA into a local area's activities appeared to be dependent on the energy and enthusiasm of the local area's co-ordinator, and may be dependent on that individual remaining in post. ABCD programmes may be more likely to be sustainable if capacity building is supported. CICA might be more sustainable if it was embedded in a wider programme of ABCD, since health issues are interrelated and AHCs often wish to broaden their portfolio. Key messages A volunteer alcohol health champions programme increased public health capacity in areas of social deprivation by utilising the assets (skills) of local people. Embedding a community alcohol health champions programme in a wider programme of asset based community development is more sustainable and allows champions to broaden their volunteering portfolio.

scholarly journals Age and Ageing During the COVID-19 Pandemic; Challenges to Public Health and to the Health of the Public

2021 ◽  
Vol 9 ◽  
Author(s):  
A. Mark Clarfield ◽  
Tzvi Dwolatzky
Keyword(s):  
Public Health ◽  
Geriatric Medicine ◽  
Psychological Needs ◽  
Public Health Care ◽  
Social Psychological ◽  
Older Population ◽  
Middle Income ◽  
The Public ◽  
Middle Income Countries ◽  
Successful Vaccine

The distribution of the SARS-CoV-2 virus has reached pandemic proportions. While COVID-19 can affect anyone, it is particularly hazardous for those with “co-morbidities.” Older age is an especially strong and independent risk factor for hospital and ICU admission, mechanical ventilation and death. Health systems must protect persons at any age while paying particular attention to those with risk factors. However, essential freedoms must be respected and social/psychological needs met for those shielded. The example of the older population in Israel may provide interesting public health lessons. Relatively speaking, Israel is a demographically young country, with only 11.5% of its population 65 years and older as compared with the OECD average of >17%. As well, a lower proportion of older persons is in long-term institutions in Israel than in most other OECD countries. The initiation of a national program to protect older residents of nursing homes and more latterly, a successful vaccine program has resulted in relatively low rates of serious COVID-19 related disease and mortality in Israel. However, the global situation remains unstable and the older population remains at risk. The rollout of efficacious vaccines is in progress but it will probably take years to cover the world's population, especially those living in low- and middle-income countries. Every effort must be made not to leave these poorer countries behind. Marrying the principles of public health (care of the population) with those of geriatric medicine (care of the older individual) offers the best way forward.

scholarly journals Personalized medicine in Brazil: a new paradigm, old problems

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Claudia Pavani ◽  
Guilherme Ary Plonski
Keyword(s):  
Public Health ◽  
Health Care ◽  
Personalized Medicine ◽  
Clinical Studies ◽  
Research Method ◽  
New Technologies ◽  
High Income ◽  
Public Health Care ◽  
Content Type

Purpose Personalized medicine (PM) encompasses a set of procedures, technologies and medications; the term became more prominent from the 2000s onwards and stems from the mapping of the human genome. The purposes of this study were to analyse the development stage of the process of technological innovation for PM and the obstacles that prevent PM from being adopted in the public health system in Brazil. Design/methodology/approach As a research method, this paper opts for a case study carried out at the Hospital das Clínicas, which belongs to São Paulo Medical School. In total, 22 in-depth interviews were carried out at the hospital to identify current practices in PM, future prospects and barriers imposed to the adoption of PM technologies in public health. Findings Personalized or precision medicine is already a reality for a small portion of the Brazilian population and is gradually gaining ground in public health care. One finding is that such changes are occurring in a disjointed manner in an incomplete and under development health innovation system. The analysis pointed out that the obstacles identified in Brazil are the same as those faced by high-income countries such as regulation, lack of clinical studies and need to adapt clinical studies to PM. They appear in all stages of the innovation cycle, from research to widespread use. Research limitations/implications The research method was a case study, so the findings cannot be extrapolated to other contexts. A limited number of professionals were interviewed, their opinions may not reflect those of their organizations. Originality/value There are several studies that discuss how health-care systems in high-income countries could incorporate these new technologies, but only a few focuses on low or middle-income countries such as Brazil.

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