Diaconu Karin, Chen Yen-Fu, Manaseki-Holland Semira, Cummins Carole, Lilford Richard
Public Health, Epidemiology and Statistics Unit, Department of Health and Population Sciences, University of Birmingham, B15 2TT Edgbaston, West Midlands, UK.
Syst Rev. 2014 Oct 21;3:118. doi: 10.1186/2046-4053-3-118.
Medical device procurement processes for low- and middle-income countries (LMICs) are a poorly understood and researched topic. To support LMIC policy formulation in this area, international public health organizations and research institutions issue a large body of predominantly grey literature including guidelines, manuals and recommendations. We propose to undertake a systematic review to identify and explore the medical device procurement methodologies suggested within this and further literature. Procurement facilitators and barriers will be identified, and methodologies for medical device prioritization under resource constraints will be discussed.
METHODS/DESIGN: Searches of both bibliographic and grey literature will be conducted to identify documents relating to the procurement of medical devices in LMICs. Data will be extracted according to protocol on a number of pre-specified issues and variables. First, data relating to the specific settings described within the literature will be noted. Second, information relating to medical device procurement methodologies will be extracted, including prioritization of procurement under resource constraints, the use of evidence (e.g. cost-effectiveness evaluations, burden of disease data) as well as stakeholders participating in procurement processes. Information relating to prioritization methodologies will be extracted in the form of quotes or keywords, and analysis will include qualitative meta-summary. Narrative synthesis will be employed to analyse data otherwise extracted. The PRISMA guidelines for reporting will be followed.
The current review will identify recommended medical device procurement methodologies for LMICs. Prioritization methods for medical device acquisition will be explored. Relevant stakeholders, facilitators and barriers will be discussed. The review is aimed at both LMIC decision makers and the international research community and hopes to offer a first holistic conceptualization of this topic.
低收入和中等收入国家（LMICs）的医疗设备采购流程是一个鲜为人知且研究较少的主题。为支持该领域的LMIC政策制定，国际公共卫生组织和研究机构发布了大量主要为灰色文献的资料，包括指南、手册和建议。我们提议进行一项系统综述，以识别和探索这些文献及更多文献中所建议的医疗设备采购方法。将确定采购促进因素和障碍，并讨论在资源受限情况下医疗设备优先级确定的方法。
方法/设计：将对书目文献和灰色文献进行检索，以识别与LMICs医疗设备采购相关的文件。将根据方案就一些预先指定的问题和变量提取数据。首先，将记录文献中描述的具体环境相关的数据。其次，将提取与医疗设备采购方法相关的信息，包括资源受限情况下采购的优先级确定、证据（如成本效益评估、疾病负担数据）的使用以及参与采购过程的利益相关者。与优先级确定方法相关的信息将以引文或关键词的形式提取，分析将包括定性元总结。将采用叙述性综合分析其他提取的数据。将遵循PRISMA报告指南。
本次综述将确定针对LMICs推荐的医疗设备采购方法。将探索医疗设备采购的优先级确定方法。将讨论相关利益相关者、促进因素和障碍。该综述针对LMICs决策者和国际研究界，希望能首次对该主题进行全面的概念化。
