Priority Populations, Population and Community Health, South Eastern Sydney Local Health District, 301 Forbes St, Darlinghurst, NSW, 2010, Australia.
South Eastern Sydney Research Collaboration Hub, Centre for Primary Health Care and Equity, University of NSW, Level 3, AGSM Building, UNSW, Sydney, NSW, 2052, Australia.
Health Res Policy Syst. 2021 Feb 18;19(1):24. doi: 10.1186/s12961-020-00657-y.
Improving the health and well-being of the whole population requires that health inequities be addressed. In an era of unprecedented international migration, meeting the health care needs of growing multicultural or multiethnic societies presents major challenges for health care systems and for health researchers. Considerable literature exists on the methodological and ethical difficulties of conducting research in a cross-cultural context; however, there is a need for a framework to guide health research in multicultural societies.
The framework was informed by "research on research" that we have undertaken in community and primary health care settings in Sydney, Australia. Case studies are presented as illustrative examples.
We present a framework for preferred practices in conducting health research that is culturally informed, high-quality, safe, and actionable.
The framework is not intended to be universal, however many of its aspects will have relevance for health research generally. Application of the framework for preferred practices could potentially make health research more culturally competent, thus enabling enhanced policies, programmes and practices to better meet population health needs. The framework needs to be further tested and refined in different contexts.
要提高全民健康水平和福祉,就必须解决健康不平等问题。在国际移民空前的时代,满足日益多元化社会的医疗保健需求,给医疗保健系统和卫生研究人员带来了重大挑战。在跨文化背景下进行研究的方法学和伦理方面存在大量文献;但是,需要有一个框架来指导多元文化社会的卫生研究。
该框架的依据是我们在澳大利亚悉尼的社区和初级卫生保健环境中进行的“关于研究的研究”。案例研究作为说明性示例。
我们提出了一个框架,用于在文化上知情、高质量、安全和可操作的情况下进行健康研究。
该框架并非旨在具有普遍性,但是其许多方面将与一般的健康研究相关。应用首选实践框架可以使健康研究更具文化能力,从而能够制定更好地满足人口健康需求的政策、计划和实践。该框架需要在不同的情况下进一步测试和完善。