Knowledge translation in the reality of Brazilian public health

Andrade, Keitty Regina Cordeiro de; Pereira, Maurício Gomes

doi:10.11606/s1518-8787.2020054002073

Brasil

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Comment • Rev. Saúde Pública 54 • 2020 • https://doi.org/10.11606/s1518-8787.2020054002073 linkcopy

Knowledge translation in the reality of Brazilian public health

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ABSTRACT

The term knowledge translation has been used to describe the process of applying research results to the real world, in order to enhance the quality and effectiveness of health care and services. The aim of this article is to discuss the incorporation of knowledge translation in the Brazilian public health. The article addresses the basic activities of knowledge translation and lists challenges and perspectives in Brazilian scenario. Brazil began to move towards understanding the process of translating scientific knowledge into practice. Investing in pilot studies to adapt the so-called effective interventions to the Brazilian scenario may be an alternative. Increasing the qualification of Brazilian researchers in the design and evaluation of implementation studies is relevant to improve this field in the country.

Implementation Science; Information Dissemination; Translational Medical Research; Health Communication; Public Health

Elements of knowledge	Description
Synthesis	Contextualization and integration of the results of individual research on the subject.
Dissemination	Knowledge transfer through the identification of the target audience, personalization of the message and definition of the best means of communication.
Exchange	Interaction between knowledge producers and users, aiming at mutual learning by an active partnership to solve a certain problem.
Application	Use of knowledge in real life through activities consistent with ethical and cultural principles, as well as legal and regulatory structures.

Steps	Description
To identify the problem	To critically analyze the literature on a problem, as well as identify knowledge gaps that justify practical implementation.
To adapt knowledge to the local context	To review the knowledge production, considering validity, usefulness and adaptation of results for a given situation, group or individual.
To assess barriers to the use of knowledge	To understand the difficulties in the assimilation and applicability of knowledge, as well as strategies to overcome such barriers.
To select, adapt and implement interventions	To plan and execute evidence-based interventions that promote knowledge implementation.
To monitor the use of knowledge	To assess whether knowledge was adequate for a given group, and whether there are new barriers to be considered.
To assess results	To determine the impact of the use of knowledge on health practices or the public system.
To support the use of knowledge	To plan the dissemination and expansion of knowledge. To assess whether the new knowledge continues to be used after the initial implementation.

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Faculdade de Saúde Pública da Universidade de São Paulo Avenida Dr. Arnaldo, 715, 01246-904 São Paulo SP Brazil, Tel./Fax: +55 11 3061-7985 - São Paulo - SP - Brazil
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[TFN1] Note: Adapted from Straus et al.5