ORCID Profile
0000-0002-3504-2177
Current Organisation
University of Oxford
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Publisher: BMJ
Date: 05-2017
Publisher: Elsevier BV
Date: 10-2022
DOI: 10.1016/J.HEALTHPOL.2022.08.008
Abstract: Academic health centres (AHCs) are organisations that aim to mobilise knowledge into practice by improving the responsiveness of health systems to emerging evidence. This study aims to explore the population health role of AHCs in Australia and England, where AHCs represent novel organisational forms. A multiple-case study design using qualitative methods was used to explore population health goals and activities in four discrete AHCs in both countries during 2017 and 2018. Data from 85 interviews with AHC leaders, clinicians and researchers, direct observation, and documentation were analysed within and across the cases. Comparison across cases produced four cross-case themes: health care rather than population health incremental rather than major health system change different conceptions of "translation" and "innovation" and unclear pathways to impact. The ability of the AHCs to define and enact a population health role was hindered during the study period by gaps in knowledge mobilisation strategies at a health system and policy level, the biomedical orientation of government designation schemes for AHCs in Australia and England, and competing expectations of the sovereign partner organisations in AHCs against a backdrop of limited operational resources. The study identifies several institutional elements that are likely to be needed for AHCs in Australia and England to deliver on both internal and external expectations of their population health role.
Publisher: Emerald
Date: 26-03-2018
DOI: 10.1108/JHOM-09-2017-0255
Abstract: Academic health centres (AHCs) are organisations that pursue a “tripartite” mission to deliver high-quality care to patients, undertake clinical and laboratory research, and train future health professionals. The last decade has seen a global spread of AHC models and a growing interest in the role of AHCs in addressing health system equity. The purpose of this paper is to synthesise and critically appraise the evidence on the role of AHCs in improving health equity. Peer-reviewed and grey literature published in English between 2000 and 2016 were searched. Articles that identified AHCs as the primary unit of analysis and that also addressed health equity concepts in relation to the AHC’s activity or role were included. In total, 103 publications met the inclusion criteria of which 80 per cent were expert opinion. Eight descriptive themes were identified through which health equity concepts in relation to AHCs were characterised, described and operationalised: population health, addressing health disparities, social determinants of health, community engagement, global health, health system reform, value-based and accountable financing models, and role clarification/recalibration. There was consensus that AHCs can and should address health disparities, but there is a lack of empirical evidence to show that AHCs have a capacity to contribute to health equity goals or are demonstrating this contribution. This review highlights the relevance of health equity concepts in discussions about the role and missions of AHCs. Future research should improve the quality of the evidence base by empirically examining health equity strategies and interventions of AHCs in multiple countries and contexts.
Publisher: F1000 Research Ltd
Date: 12-04-2023
DOI: 10.12688/F1000RESEARCH.131468.1
Abstract: Domestic violence and abuse (DVA) against women in India is a serious concern. To address this, community-based interventions to facilitate sustained change at local levels have been implemented in 37 villages by the Halo Medical Foundation (an NGO working in the Maharashtra state of India). This qualitative study of community led alliances (known as Nirdhar Groups) evaluates the experiences of these ‘community citizen groups’. Participants from 12 villages from the project area participated in qualitative focus group discussions. Nirdhar Groups used local interventions to address priorities such as safe and equal access to education and healthcare. They offered education to address financial oppression and used community pressure and ‘Responsible Couples’ as mechanisms for change, to instil ‘fairness, gender equality, kind and compassionate community values’ and a variety of techniques to reduce DVA. The drivers for change included role modelling, empowerment of women in communities and a focus on changing cultural practices for present and future generations. This paper reveals how local interventions empower communities to address gender disparities and DVA.
Publisher: Wiley
Date: 12-10-2018
DOI: 10.1002/HPM.2681
Publisher: The Australia and New Zealand School of Government (ANZSOG)
Date: 2021
DOI: 10.21307/EB-2021-001
Publisher: Springer Science and Business Media LLC
Date: 19-07-2016
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Pavel Ovseiko.