手术成果的障碍 低收入和中等收入国家的研究:一个全面的综述
Nabiha Akhlaq Mughal1, Muzamil Hamid Hussain1, Kaleem Sohail Ahmed2
1Department of Surgery, Aga Khan University Medical College, Karachi, Sindh, Pakistan.
The Journal of surgical research
|June 3, 2023
概括
在低收入和中等收入国家 (LMICs) 开发外科结果注册表面临着重大的技术,组织和行为障碍. 应对这些挑战对于改善这些环境中的外科手术质量和患者护理至关重要.
科学领域:
- 全球手术全球手术
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的数据科学.
背景情况:
- 系统地收集手术结果数据对于质量改善至关重要.
- 低收入和中等收入国家 (LMICs) 显著缺乏手术结果数据.
- 经风险调整的术后发病率和死亡率数据对于改善LMIC的外科治疗结果至关重要.
研究的目的:
- 审查在LMIC环境中开发周边操作注册表的障碍和挑战.
- 在资源有限的环境中识别阻碍外科手术结果研究的因素.
主要方法:
- 进行了2000-2021年出版文献的范围审查.
- 使用相关的关键字搜索了PubMed,Embase,Scopus和谷歌学者.
- 使用常规信息系统管理框架将已识别的障碍组织成技术,组织或行为因素.
主要成果:
- 对数字平台的有限访问,非标准化的表格和表格的复杂性是关键的技术障碍.
- 组织障碍包括资源限制,财务限制,人力资源不足和电力不可靠.
- 行为因素包括缺乏团队承诺,工作约束和影响数据收集的临床负担.
结论:
- 关于在LMICs中开发外科外科注册表的障碍,文献很少.
- 需要进一步的研究,以了解在LMIC中持续收集手术结果数据的障碍和促进因素.
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