Moving from Data Collection to Application: A Systematic Literature Review of Surgical Capacity Assessments and their Applications
Moving from Data Collection to Application: A Systematic Literature Review of Surgical Capacity Assessments and their Applications
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DOI：
10.1007/s00268-014-2938-8
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发表时间：
2015-04-01
影响因子：
2.6
通讯作者：
Kushner, Adam L.
中科院分区：
文献类型：
--
作者：
Carlson, Lucas C.;Lin, Joseph A.;Kushner, Adam L.
在过去十年中，对低收入和中等收入国家（LMICs）手术能力的评估有助于我们了解一些国家提供手术服务的障碍。然而，目前尚不清楚这些评估的结果如何在已发表的文献中应用和建立。对中低收入国家的手术能力评估进行了系统的文献综述，以评估目前对全球手术能力的理解水平，并确定未来研究的领域。一个反向滚雪球的方法，然后被用来跟踪引用确定的研究，以评估这项研究已被应用，并建立在literation.Twenty-one论文报告的结果，在17个不同的中低收入国家在南亚，东亚和太平洋地区，拉丁美洲和加勒比地区，以及撒哈拉以南非洲地区进行的手术能力评估。这些研究记录了人力资源、基础设施、设备和用品的严重短缺。只有七个额外的文件被确定为应用或建立在研究。其中，能力评估结果最常用于开发新的工具和干预战略，但它们也被用作基线测量，与更新的能力评估进行比较。虽然全球外科界在确定世界各地中低收入国家外科能力基线值方面取得了巨大进展，有必要进一步开展工作，以利用和应用通过这些努力建立的基本知识。应协调能力评估数据，并将其用于正在进行的研究工作，以监测和评价全球外科手术的进展情况，并制定有针对性的干预战略。干预战略的制定也可进一步纳入评价进程本身。
Over the past decade, assessments of surgical capacity in low- and middle-income countries (LMICs) have contributed to our understanding of barriers to the delivery of surgical services in a number of countries. It is yet unclear, however, how the findings of these assessments have been applied and built upon within the published literature.A systematic literature review of surgical capacity assessments in LMICs was performed to evaluate current levels of understanding of global surgical capacity and to identify areas for future study. A reverse snowballing method was then used to follow-up citations of the identified studies to assess how this research has been applied and built upon in the literature.Twenty-one papers reporting the findings of surgical capacity assessments conducted in 17 different LMICs in South Asia, East Asia and Pacific, Latin America and the Caribbean, and sub-Saharan Africa were identified. These studies documented substantial deficits in human resources, infrastructure, equipment, and supplies. Only seven additional papers were identified which applied or built upon the studies. Among these, capacity assessment findings were most commonly used to develop novel tools and intervention strategies, but they were also used as baseline measurements against which updated capacity assessments were compared.While the global surgery community has made tremendous progress in establishing baseline values of surgical capacity in LMICs around the world, further work is necessary to build upon and apply the foundational knowledge established through these efforts. Capacity assessment data should be coordinated and used in ongoing research efforts to monitor and evaluate progress in global surgery and to develop targeted intervention strategies. Intervention strategy development may also be further incorporated into the evaluation process itself.