A rapid evidence review on the effectiveness of institutional health partnerships.
A rapid evidence review on the effectiveness of institutional health partnerships.
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DOI：
10.1186/s12992-015-0133-9
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发表时间：
2015-12-14
影响因子：
10.8
通讯作者：
Schönemann Y
中科院分区：
文献类型：
--
作者：
Kelly E;Doyle V;Weakliam D;Schönemann Y
机构卫生伙伴关系是高收入国家与中低收入国家之间的长期机构对机构伙伴关系，旨在建设能力和加强卫生机构，以改善卫生服务的提供和成果。近年来，对机构保健伙伴关系的供资有所增加。本文概述了这种方式的有效性的快速证据审查。对已发表和灰色文献进行了快速证据审查。摘录并分析了与伙伴关系工作的有效性以及所用方法和框架有关的内容。这一分析的结果被用来组织关于加强机构卫生伙伴关系的有效性的证据基础的后续步骤的讨论。包括引文映射在内的证据审查返回了27篇已发表的论文和17篇灰色文献，符合所有纳入标准。大多数文献没有达到正式学术严谨性的高标准，这些文献中没有专门针对机构卫生伙伴关系有效性的原创研究。这并不奇怪，因为机构卫生伙伴关系不容易进行病例对照研究和随机对照试验，因为它们具有高度的多样性和在复杂的社会系统中的运作。然而，有一套基于知识和经验的实践。机构卫生伙伴关系的有效性的证据是薄的数量和学术严谨性。有必要更好地界定和区分机构卫生伙伴关系，以衡量和比较在这样一个不同的群体的有效性。需要在个别伙伴关系、促进伙伴关系方案的机构和提供保健服务的水平上衡量成效。有必要制定指标和框架，具体说明伙伴关系运作的好处和价值，以及这些好处和价值与成效的关系。这些指标的内容必须与已经通过例行项目监测和评价衡量的具体干预措施保持中立。这将有助于制定评估机构卫生伙伴关系有效性的方法途径。在进行或发表更多的初步研究之前，进一步的系统评价几乎没有什么好处。本文的在线版本（doi：10.1186/s12992-015-0133-9）包含补充材料，可供授权用户使用。
Institutional Health Partnerships are long-term, institution to institution partnerships between high income and low and middle income countries which seek to build capacity and strengthen health institutions in order to improve health service delivery and outcomes. Funding for Institutional Health Partnerships has increased in recent years. This paper outlines a rapid evidence review on the effectiveness of this modality. A rapid evidence review of published and grey literature was conducted. Content relating to the effectiveness of working in partnership and methods and frameworks used were extracted and analysed. The results of this analysis were used to structure a discussion regarding the next steps to strengthen the evidence base for the effectiveness of institutional health partnerships. The evidence review, including citation mapping, returned 27 published papers and 17 grey literature documents that met all of the inclusion criteria. Most of the literature did not meet the high standards of formal academic rigour and there was no original research amongst this literature that specifically addressed the effectiveness of institutional health partnerships. This was not surprising given institutional health partnerships do not lend themselves easily to case control studies and randomised control trials due to their high level of diversity and operation in complex social systems. There was, however, a body of practice based knowledge and experience. Evidence for the effectiveness of Institutional Health Partnerships is thin both in terms of quantity and academic rigour. There is a need to better define and differentiate Institutional Health Partnerships in order to measure and compare effectiveness across such a diverse group. Effectiveness needs to be measured at the level of individual partnerships, the bodies that facilitate partnership programmes and the level of health service delivery. There is a need to develop indicators and frameworks that specifically address the benefits and values of partnership working and how these relate to effectiveness. These indicators need to be content neutral of specific interventions which are already measured through routine project monitoring and evaluation. This will allow the development of methodological pathways to assess the effectiveness of institutional health partnerships. Until more primary research is conducted or published there is little benefit in further systematic reviews. The online version of this article (doi:10.1186/s12992-015-0133-9) contains supplementary material, which is available to authorized users.