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54. The Benefits of Cooperative Inquiry in Health Services Research: Lessons from an Australian Aboriginal and Torres Strait Islander Health Study

Author

Freeman, Toby, primary, Mackean, Tamara, additional, Sherwood, Juanita, additional, Ziersch, Anna, additional, O’Donnell, Kim, additional, Dwyer, Judith, additional, Askew, Deborah, additional, Shakespeare, Madison, additional, D’Angelo, Shane, additional, Fisher, Matthew, additional, Browne, Annette, additional, Egert, Sonya, additional, Baghbanian, Vahab, additional, and Baum, Fran, additional

Published
2023
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65. The Benefits of Cooperative Inquiry in Health Services Research: Lessons from an Australian Aboriginal and Torres Strait Islander Health Study.

Author

Freeman, Toby, Mackean, Tamara, Sherwood, Juanita, Ziersch, Anna, O'Donnell, Kim, Dwyer, Judith, Askew, Deborah, Shakespeare, Madison, D'Angelo, Shane, Fisher, Matthew, Browne, Annette, Egert, Sonya, Baghbanian, Vahab, and Baum, Fran

Subjects
MEDICAL care research, INTERPROFESSIONAL relations, HEALTH status indicators, RESEARCH funding, HUMAN services programs, MEDICAL care of indigenous peoples, QUALITATIVE research, MEDICAL care, CLINICAL governance, EVALUATION of medical care, UNCERTAINTY, STRATEGIC planning, TORRES Strait Islanders, HEALTH planning, WORKING hours, DISASTERS, ENDOWMENT of research, HEALTH of indigenous peoples, MEDICAL needs assessment, PRACTICAL politics, COOPERATIVENESS, COVID-19 pandemic
Abstract

Health services research is underpinned by partnerships between researchers and health services. Partnership-based research is increasingly needed to deal with the uncertainty of global pandemics, climate change induced severe weather events, and other disruptions. To date there is very little data on what has happened to health services research during the COVID-19 pandemic. This paper describes the establishment of an Australian multistate Decolonising Practice research project and charts its adaptation in the face of disruptions. The project used cooperative inquiry method, where partner health services contribute as coresearchers. When the COVID-19 pandemic hit, data collection needed to be immediately paused, and when restrictions started to lift, all research plans had to be renegotiated with services. Adapting the research surfaced health service, university, and staffing considerations. Our experience suggests that cooperative inquiry was invaluable in successfully navigating this uncertainty and negotiating the continuance of the research. Flexible, participatory methods such as cooperative inquiry will continue to be vital for successful health services research predicated on partnerships between researchers and health services into the future. They are also crucial for understanding local context and health services priorities and ways of working, and for decolonising Indigenous health research. [ABSTRACT FROM AUTHOR]

Published
2024
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99. Illustrating the impact of commercial determinants of health on the global COVID-19 pandemic:Thematic analysis of 16 country case studies

Author

Freeman, Toby, Baum, Fran, Musolino, Connie, Flavel, Joanne, McKee, Martin, Chi, Chunhuei, Giugliani, Camila, Falcão, Matheus Zuliane, De Ceukelaire, Wim, Howden-Chapman, Philippa, Huong, Nguyen Thanh, Serag, Hani, Kim, Sun, Dardet, Carlos Alvarez, Gesesew, Hailay Abrha, London, Leslie, Popay, Jennie, Paremoer, Lauren, Tangcharoensathien, Viroj, Sundararaman, T, Nandi, Sulakshana, Villar, Eugenio, Freeman, Toby, Baum, Fran, Musolino, Connie, Flavel, Joanne, McKee, Martin, Chi, Chunhuei, Giugliani, Camila, Falcão, Matheus Zuliane, De Ceukelaire, Wim, Howden-Chapman, Philippa, Huong, Nguyen Thanh, Serag, Hani, Kim, Sun, Dardet, Carlos Alvarez, Gesesew, Hailay Abrha, London, Leslie, Popay, Jennie, Paremoer, Lauren, Tangcharoensathien, Viroj, Sundararaman, T, Nandi, Sulakshana, and Villar, Eugenio

Abstract

Previous research on commercial determinants of health has primarily focused on their impact on non-communicable diseases. However, they also impact on infectious diseases and on the broader preconditions for health. We describe, through case studies in 16 countries, how commercial determinants of health were visible during the COVID-19 pandemic, and how they may have influenced national responses and health outcomes. We use a comparative qualitative case study design in selected low- middle- and high-income countries that performed differently in COVID-19 health outcomes, and for which we had country experts to lead local analysis. We created a data collection framework and developed detailed case studies, including extensive grey and peer-reviewed literature. Themes were identified and explored using iterative rapid literature reviews. We found evidence of the influence of commercial determinants of health in the spread of COVID-19. This occurred through working conditions that exacerbated spread, including precarious, low-paid employment, use of migrant workers, procurement practices that limited the availability of protective goods and services such as personal protective equipment, and commercial actors lobbying against public health measures. Commercial determinants also influenced health outcomes by influencing vaccine availability and the health system response to COVID-19. Our findings contribute to determining the appropriate role of governments in governing for health, wellbeing, and equity, and regulating and addressing negative commercial determinants of health.

Published
2023

100. Illustrating the impact of commercial determinants of health on the global COVID-19 pandemic: Thematic analysis of 16 country case studies

Author

Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Freeman, Toby, Baum, Fran, Musolino, Connie, Flavel, Joanne, McKee, Martin, Chi, Chunhuei, Giugliani, Camila, Falcão, Matheus Zuliane, De Ceukelaire, Wim, Howden-Chapman, Philippa, Nguyen, Thanh Huong, Serag, Hani, Kim, Sun, Álvarez-Dardet, Carlos, Gesesew, Hailay Abrha, London, Leslie, Popay, Jennie, Paremoer, Lauren, Tangcharoensathien, Viroj, Sundararaman, T., Nandi, Sulakshana, Villar, Eugenio, Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Freeman, Toby, Baum, Fran, Musolino, Connie, Flavel, Joanne, McKee, Martin, Chi, Chunhuei, Giugliani, Camila, Falcão, Matheus Zuliane, De Ceukelaire, Wim, Howden-Chapman, Philippa, Nguyen, Thanh Huong, Serag, Hani, Kim, Sun, Álvarez-Dardet, Carlos, Gesesew, Hailay Abrha, London, Leslie, Popay, Jennie, Paremoer, Lauren, Tangcharoensathien, Viroj, Sundararaman, T., Nandi, Sulakshana, and Villar, Eugenio

Abstract

Previous research on commercial determinants of health has primarily focused on their impact on non-communicable diseases. However, they also impact on infectious diseases and on the broader preconditions for health. We describe, through case studies in 16 countries, how commercial determinants of health were visible during the COVID-19 pandemic, and how they may have influenced national responses and health outcomes. We use a comparative qualitative case study design in selected low- middle- and high-income countries that performed differently in COVID-19 health outcomes, and for which we had country experts to lead local analysis. We created a data collection framework and developed detailed case studies, including extensive grey and peer-reviewed literature. Themes were identified and explored using iterative rapid literature reviews. We found evidence of the influence of commercial determinants of health in the spread of COVID-19. This occurred through working conditions that exacerbated spread, including precarious, low-paid employment, use of migrant workers, procurement practices that limited the availability of protective goods and services such as personal protective equipment, and commercial actors lobbying against public health measures. Commercial determinants also influenced health outcomes by influencing vaccine availability and the health system response to COVID-19. Our findings contribute to determining the appropriate role of governments in governing for health, wellbeing, and equity, and regulating and addressing negative commercial determinants of health.

Published
2023

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