The politics of research management: Reflections on the gap between what we 'know' (about SDH) and what we do

Bacchi, Carol
August 2008
Health Sociology Review;Aug2008, Vol. 17 Issue 2, p165
Academic Journal
Health researchers in a number of settings are expressing concern about the 'gap' between what we 'know' about the social determinants of health and of health inequalities, and the lack of action based upon this 'knowledge'. Indeed, the 'know-do gap' has become almost a mantra echoed across international and some national institutional sites. This paper examines how the 'problem' of the 'gap' is understood and represented in dominant and sub-dominant conceptualisations. It highlights what is missing from these representations: adequate reflection on changing modes of governance of research management. Where once there was a degree of separation between research production and government policy, increasingly there is congruence between these governmental functions. This congruence means that the problem we face today is not a 'gap' but rather a 'fit' between what we 'know' and what we (don't) do regarding SDH.


Related Articles

  • The Value Corner.  // AHA News;2/6/2006, Vol. 42 Issue 3, p7 

    Focuses on a survey, which revealed that majority of adults in the U.S. believe health-related research should be a national priority. Percentage of respondents who said that increasing U.S. funding for medical and health research is essential to future health and economic prosperity; Rate of...

  • Estimating the economic value to societies of the impact of health research: a critical review. Buxton, Martin; Hanney, Steve; Jones, Teri // Bulletin of the World Health Organization;Oct2004, Vol. 82 Issue 10, p733 

    Estimating the economic value to societies of health research is a complex but essential step in establishing and justifying appropriate levels of investment in research. The practical difficulties encountered include: identifying and valuing the relevant research inputs (when many pieces of...

  • Ética e telessaúde: reflexões para uma prática segura. Rezende, Edson José Carpintero; De Melo, Maria do Carmo Barros; Tavares, Eduardo Carlos; Santos, Alaneir de Fátima dos; De Souza, Cláudio // Pan American Journal of Public Health;Jul2010, Vol. 28 Issue 1, p58 

    The term eHealth (or telemedicine, telehealth) has been used to describe activities that employ information and telecommunication technologies to deliver health care. Distance is an important factor hindering the delivery of many important services, such as diagnosis, treatment, prevention,...

  • Clinical research lags behind biomedical, population-based health, and health services research at multiple levels. Raghavan, Malathi; Sandham, J. Dean // Clinical & Investigative Medicine;Aug2007, Vol. 30 Issue 4, pE152 

    Purpose: Concerns regarding a decline in clinical research have been raised internationally. In this study, research initiatives and competitiveness of investigators seeking funding for clinical research were compared with those for three other health research themes in Canada, namely,...

  • Local research: Needed guidance for the Indian Health Service's urban mission. Nolan, Leo J.; Freeman, William L. // Public Health Reports;Jul/Aug96, Vol. 111 Issue 4, p320 

    Opinion. Comments on a study about the health care experience of urban American Indians. Failure of the study to assess the full spectrum of American Indian health problems; Descriptive data on urban health problems; Benefits of the study to the Indian Health Service.

  • Low-cost care need not be low quality. Woolsey, Christine // Business Insurance;1/9/95, Vol. 29 Issue 2, p22 

    Presents the results of a study by public health researchers at John Hopkins University in Baltimore which supports the theory that low-cost care does not necessarily lead to low-quality care. Legitimate ways of balancing cost control and quality; Assessment of the difference in cost of care;...

  • Calidad efectiva de los servicios de salud. Hernández-Torres, Francisco; Aguirre-Gas, Héctor; Santacruz-Varela, Javier; Gómez-Berna, Enrique; García-Saisó, Sebastián; Rubén Durán-Fontes, Luis // Revista CONAMED;jul-sep2013, Vol. 18 Issue 3, p129 

    Health systems look for a continuous improvement on quality with efficacy and efficiency to achieve ideal results in the attention to patients and to their families. However, there is an ample variation in the processes and results. An effective conceptual and methodological basis is proposed,...

  • A modest proposal for research. Avery, Desmond // Bulletin of the World Health Organization;Jul2005, Vol. 83 Issue 7, p484 

    The author of this article presents a modest proposal for the trustworthiness of a health research. Research that merits attention ask important questions and proposes significant answers. This can be seen from papers that become classics, such as James Lind's "Treatise of the Scurvy," Richard...

  • Identification of cultural determinants of antibiotic use cited in primary care in Europe: a mixed research synthesis study of integrated design "Culture is all around us". Touboul-Lundgren, Pia; Jensen, Siri; Drai, Johann; Lindbæk, Morten // BMC Public Health;9/18/2015, Vol. 15 Issue 1, p1 

    Background: Inappropriate antibiotic prescribing, particularly for respiratory tract infections (RTI) in ambulatory care, has become a worldwide public health threat due to resulting antibiotic resistance. In spite of various interventions and campaigns, wide variations in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics