如果没有节的评估,就没有节的创新:全球IDEAL子框架
William S Bolton1, Noel K Aruparayil1, Bonnie Cundill2
1Leeds Institute of Medical Research, University of Leeds, School of Medicine, Leeds, UK.
BMJ surgery, interventions, & health technologies
|June 17, 2024
概括
这项研究适应了IDEAL框架,用于在低资源环境中评估外科创新. 它提供了修改后的建议,以应对独特的挑战,旨在改善全球外科创新和患者结果.
科学领域:
- 全球手术全球手术
- 手术创新评估的评估
- 卫生系统研究 卫生系统研究
背景情况:
- 该 IDEAL (想法,开发,探索,评估,长期研究) 框架指导手术创新评估.
- "柳叶刀"杂志"全球外科手术委员会强调,在资源乏的环境中需要特定于环境的外科护理.
- 整合这些框架对于全球有效的外科创新至关重要.
研究的目的:
- 将IDEAL框架与"柳叶刀"委员会的愿景结合起来.
- 制定建议,以评估在资源较少的环境中进行外科创新.
- 适应现有的框架,以适应不同的全球环境.
主要方法:
- 采用了混合方法的方法,包括全球在线调查和半结构面试 (SSI).
- 分析了来自66个调查响应 (40个国家) 的定量数据和来自9个SSI的定性数据.
- 框架方法用于定性数据分析,并补充了描述性统计数据.
主要成果:
- 大多数受访者 (74.2%) 有评估外科技术的经验.
- 关键主题包括节创新,具体背景评估,低收入/中等收入国家 (LMICs) 所需的方法和研究人员支持.
- 创新采用往往依赖于同行建议或国际临床评估.
结论:
- 全球IDEAL子框架为评估低资源环境中的外科创新提供了修改后的建议.
- 需要通过共识论坛和试点研究进行进一步的验证.
- 目标是创建全面的指导,使全球外科创新和患者护理受益.
关键词:
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