定义可持续全球外科合作伙伴关系的框架和评估指标:修改后的Delphi研究
Catherine J Binda1, Jayd Adams2, Rachel Livergant3
1Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Annals of surgery
|August 4, 2023
概括
这项研究开发了一个基于共识的框架和检查清单,以评估全球外科合作伙伴关系 (GSP) 的可持续性. 该工具旨在促进全球卫生倡议中公平有效的合作.
科学领域:
- 全球健康 全球健康
- 手术合作伙伴关系 手术合作伙伴关系
- 可持续性科学 可持续性科学
背景情况:
- 全球外科合作伙伴关系 (GSPs) 旨在解决资源较少的环境中未得到满足的外科需求.
- 不对称的伙伴关系可能会产生意想不到的负面后果,这凸显了对可持续参与模式的需求.
- 目前GSP可持续性框架缺乏共识,需要采用统一的方法.
研究的目的:
- 建立一个具体和现实的框架来评估GSP的可持续性.
- 制定一个基于共识的检查清单来评估GSP的可持续性.
- 引导全球外科手术中公平有效的合作.
主要方法:
- 修改后的Delphi技术与有目的的采样.
- 在GSP可持续性的6个支柱的定义和评估指标上达成专家共识.
- 参与了来自34个国家的50名全球手术专家,在3个Delphi轮.
主要成果:
- 制定了一份47项检查清单,用于评估GSP可持续性的6个支柱.
- 在第二轮和第三轮Delphi会议中,在框架和检查清单项目上达成100%的共识.
- 该框架包括利益相关者参与,多学科合作,环境相关的教育和培训,双边著作,多来源资金和结果测量.
结论:
- 介绍了首个经过专家认可的可持续GSP框架,纳入全球投入.
- 提供了一个实际的工具,以提高GSP的有效性和公平性.
- 旨在支持非殖民解决方案,以改善在资源较少的环境中获得外科护理的机会.
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