https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(06)69376-8.pdf

Bridging the divide: global lessons from evidence-based health policy in Mexico

Neither high theoretical efficacy of disease control tools, nor diagnostic accuracy, nor good compliance, nor adequate coverage can lead on its own to the final goal of community effectiveness. There is a complex relationship between these factors. The different steps in the process leading to effective health care in the community are discussed on the basis of biomedical and health systems research activities of the Swiss Tropical Institute. Schistosomiasis and malaria control provide the background to problems related to the efficacy of tools. In particular, information on the trial of a malaria vaccine candidate (SPf66) is given. Approaches to the rapid, accurate and economical diagnosis of communities at risk are discussed with reference to Schistosoma haematobium and S. mansoni. Health service support projects in Tanzania and Chad are presented to exemplify problems linked to the compliance of users/providers and coverage. Finally, it is shown that community effectiveness depends on the highest possible success rate for each step. This requires the co-operative efforts of all those involved: the scientist, the manager, the community health worker and, last but not least, the community itself.

Case studies from the biomedical and health systems research activities of the Swiss Tropical Institute in Africa

Durante los ultimos seis anos, Mexico ha llevado a cabo una profunda transformacion de su sistema de salud. Este articulo presenta una vision general de las principales caracteristicas de la experiencia de reforma mexicana. Como resultado del alto grado de desigualdad social, Mexico es un microcosmos de la diversidad de problemas que afectan a los paises de todos los niveles de desarrollo. Su sistema de salud no estaba a la altura de las presiones impuestas por la doble carga de enfermedad, en donde la desnutricion, las infecciones comunes y los problemas de salud reproductiva coexisten con las enfermedades no transmisibles y las lesiones. Con la mitad de su poblacion sin acceso al aseguramiento en salud, Mexico enfrentaba una paradoja inaceptable: si bien la salud es un factor clave en la lucha contra la pobreza, un gran numero de familias se empobrecia como consecuencia de los gastos para la atencion de su salud, incluyendo los medicamentos. La reforma se diseno para corregir esta paradoja mediante la introduccion de un innovador esquema denominado Seguro Popular, a traves del cual se protege de manera gradual a 50 millones de mexicanos, la mayoria de ellos pobres, que hasta ahora habian sido excluidos de la seguridad social formal. Este articulo presenta una serie de resultados alentadores para lograr el fin ultimo de la reforma: el acceso universal a servicios de salud de alta calidad con proteccion social para todos.

/pdf/tender-puentes-lecciones-globales-desde-mexico-sobre-4173l6869r.pdf

Tender puentes: lecciones globales desde México sobre políticas de salud basadas en evidencias

The launching of Health Systems and Reform (HS&R) is an important and long-awaited development that should be celebrated for at least three reasons: the strict emphasis of the journal on health sys...

Learning from Each Other: Bridging the Divide Between Ideas and Action in Health Systems

What a wonderful opportunity: to be guest editor for the first issue of the next 30 years of the Canadian Journal of Nursing Research _ and setting the foundation for entering the new millennium!
 With all opportunities, however, come challenges. While dissemination and research utilization are everyday terms for many nurses, they are still primarily conceptual and lack operational detail for end-users in clinical practice, education, administration and management, and policy-making. It is only in the past 30 to 40 years that attention has been explicitly directed to explaining factors that affect coordination of research and decision-making in these contexts, and this primarily with respect to the medical profession. The nurse authors of the articles in this seminal issue of the Journal have helped our profession achieve greater theoretical understanding of dissemination and research utilization and have proposed frameworks and models to test these processes. They are leaders in expanding this focus in nursing and research.

https://cjnr.archive.mcgill.ca/article/view/1504/1504

Guest Editorial: Moving Research Utilization into the Millennium

The Baxter American Foundation Prize address.

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The Baxter American Foundation Prize address.