CITATION: Critical examination of knowledge to action models and implications for promoting health equity

Colleen M. Davison, Sume Ndumbe-Eyoh and Connie Clement.

Corresponding author: Colleen M Davison: davisonc@queensu.ca

International Journal for Equity in Health 2015, 14:49  doi:10.1186/s12939-015-0178-7

Published: 29 May 2015

http://www.equityhealthj.com/content/14/1/49/abstract

ABSTRACT (provisional)

Introduction: Knowledge and effective interventions exist to address many current global health inequities. However, there is limited awareness, uptake, and use of knowledge to inform action to improve the health of disadvantaged populations. The gap between knowledge and action to improve health equity is of concern to health researchers and practitioners. This study identifies and critically examines the usefulness of existing knowledge to action models or frameworks for promoting health equity.

Methods: We conducted a scoping review of existing literature to identify knowledge to action (KTA) models or frameworks and critiqued the models using a health equity support rubric.

Results: We identified forty-eight knowledge to action models or frameworks. Six models scored between eight and ten of a maximum 12 points on the health equity support rubric. These high scoring models or frameworks all mentioned equity-related concepts. Attention to multisectoral approaches was the factor most often lacking in the low scoring models. The concepts of knowledge brokering, integrative processes, such as those in some indigenous health research, and Ecohealth applied to KTA all emerged as promising areas.

Conclusions: Existing knowledge to action models or frameworks can help guide knowledge translation to support action on the social determinants of health and health equity. There is a need to further test existing models or frameworks. This process should be informed by participatory and integrative research. There is room to develop more robust equity supporting models.

I was interested to read this new paper that identifies and assesses 48 knowledge to action models. I would propose consideration of a 49th model: the HIFA model, described here: http://www.hifa2015.org/about/the-strategy-for-achieving-our-goal/

The HIFA model puts the emphasis on the fundamental processes of production, publication, indexing, synthesis, repurposing and availing of healthcare knowledge – all with a systems-thinking perspective to better understand and address the drivers and barriers to the availability and use of healthcare information in low- and middle-income countries. The model was originally described in The Lancet in 2004, in the paper ‘Can we achieve health information for all by 2015?’ http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(04)16681-6/fulltext

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Let’s build a future where people are no longer dying for lack of healthcare knowledge – Join HIFA: www.hifa2015.org