烧伤护理中的卫生系统研究:一个证据差距地图
Vikash Ranjan Keshri1,2, Margaret Peden3,4, Pratishtha Singh2
1The George Institute for Global Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia vrkeshri@gmail.com.
概括
医疗系统对烧伤护理的研究是有限的,特别是在低收入国家. 加强这项研究对于改善全球烧伤结果和公平护理至关重要.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 烧伤护理 烧伤护理
背景情况:
- 全球范围内,烧伤伤造成的死亡率和残疾率很高.
- 有效的卫生系统对于最佳的烧伤护理至关重要.
- 卫生系统研究 (HSR) 在烧伤护理领域的范围在很大程度上是未知的.
研究的目的:
- 系统地绘制与烧伤护理相关的全球卫生系统研究.
- 识别研究领域的证据缺口.
- 为未来的研究重点和政策改革提供信息.
主要方法:
- 使用世界卫生组织卫生系统框架开发了一个证据差距地图 (EGM).
- 在主要的医疗,健康和伤害数据库中进行了全面的搜索.
- 在EGM开发中采用了一种标准方法.
主要成果:
- 在选了6586篇文章后,有106项研究符合纳入标准.
- 大多数研究是横截面的,以医院为基础的,专注于服务提供,卫生工作人员和技术.
- 研究集中在高收入国家,尽管低收入和中等收入国家燃烧死亡率较高.
结论:
- 对于整合卫生系统对烧伤护理的方法,存在显著的证据差距.
- 在全球烧伤负担和HSR之间存在着显著的不平等.
- 加强研究能力对于基于证据的改革至关重要,以改善烧伤护理的获取和结果.
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