在世界卫生组织指导方针中使用定性研究:文件分析
Melissa Taylor1, Paul Garner2, Sandy Oliver3,4
1Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK. melissa.taylor@lstmed.ac.uk.
Health research policy and systems
|April 4, 2024
概括
定性研究经常为世界卫生组织 (WHO) 的指导方针提供信息,特别是在母亲和新生儿健康方面. 然而,它的使用缺乏透明度,需要开发实施和上下文化.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 证据综合 证据综合
- 定性研究方法 定性研究方法
背景情况:
- 指南依赖于随机对照试验中的效果估计.
- 定性研究可以提高准则决策,但其整合方法尚不清楚.
- 本研究检查了自2020年以来世界卫生组织 (WHO) 指导方针中定性证据的使用情况.
研究的目的:
- 在世卫组织指导方针中描述和评估定性研究的利用.
- 确定定性证据如何为指导方针开发的不同阶段提供信息.
- 评估定性证据整合的透明度和质量.
主要方法:
- 对2020年至2022年间发布的世卫组织指导方针的文档分析.
- 关于母亲和新生儿健康 (MANH) 和传染病的指南的有目的抽样.
- 用于描述和评估使用定性证据的演框架.
主要成果:
- 在分析的29个指导方针中,超过一半的指导方针 (18/29) 包含了定性研究.
- 定性证据为指导方针的范围 (8/18),建议 (全部18),以及实施 (1/18) 提供了信息.
- 报告中缺乏证据解释和权衡的透明度;建议的上下文化有限.
结论:
- 在世卫组织的指导方针中,定性研究经常被使用,特别是对于MANH.
- 整合过程往往缺乏透明度和方法严格性.
- 需要进一步发展,以加强对实施考虑和建议上下文化的定性证据的使用.
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