通过使用AGREE-HS工具,评估卫生系统对大流行病的指导报告的质量和完整性
Luka Ursić1,2, Marija F Žuljević2,3, Miro Vuković1,2
1Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia.
Journal of global health
|October 26, 2023
概括
应对流行病的卫生系统指导 (HSG) 需要改进. 虽然COVID-19指南得分高于H1N1,但报告质量仍然很低,特别是在方法和参与者细节方面.
科学领域:
- 公共卫生政策 公共卫生政策
- 卫生系统研究 卫生系统研究
- 疫情防控的准备工作
背景情况:
- 世界卫生组织,ECDC和CDC等领先的卫生组织在卫生紧急情况期间发布指南.
- 以前的研究集中在临床指导方针上,在评估公共卫生指导方面留下了一个空白.
- 这项研究解决了评估卫生系统指南 (HSG) 对大流行病的需要.
研究的目的:
- 评估世卫组织,ECDC和CDC的卫生系统指南 (HSG) 的质量和透明度.
- 为了比较2009年H1N1和COVID-19大流行期间发布的HSG.
- 确定与流行病相关的公共卫生建议需要改进的领域.
主要方法:
- 从组织存储库中提取了H1N1和COVID-19的HSG.
- 审查了资格的文件,并将108个HSG纳入分析.
- 在五个领域使用评估指南研究和评估 - 健康系统 (AGREE-HS) 工具评估报告质量.
主要成果:
- COVID-19 HSG获得的AGREE-HS得分高于H1N1 HSG的得分.
- 与世卫组织和ECDC相比,CDC的指导总体和特定领域的得分较低.
- 所有评估的HSG报告都不完整,得分低于中位数,特别是在"参与者"",方法"和"可实施性"领域.
结论:
- 需要在HSG报告的质量和完整性方面进行重大改进,特别是在方法和开发团队方面.
- 未来的流行病指南应采用最佳报告实践,以提高利益相关者的吸收和公众信任.
- 提高HSG的透明度对于在危机期间有效应对全球医疗保健系统至关重要.
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