Center for Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
BMJ Open. 2017 Aug 21;7(8):e017050. doi: 10.1136/bmjopen-2017-017050.
Health leadership and management capacity are essential for health system strengthening and for attaining universal health coverage by optimising the existing human, technological and financial resources. However, in health systems, health leadership and management training is not widely available. The use of information technology for education (ie, eLearning) could help address this training gap by enabling flexible, efficient and scalable health leadership and management training. We present a protocol for a systematic review on the effectiveness of eLearning for health leadership and management capacity building in improving health system outcomes.
We will follow the Cochrane Collaboration methodology. We will search for experimental studies focused on the use of any type of eLearning modality for health management and leadership capacity building in all types of health workforce cadres. The primary outcomes of interest will be health outcomes, financial risk protection and user satisfaction. In addition, secondary outcomes of interest include the attainment of health system objectives of improved equity, efficiency, effectiveness and responsiveness. We will search relevant databases of published and grey literature as well as clinical trials registries from 1990 onwards without language restrictions. Two review authors will screen references, extract data and perform risk of bias assessment independently. Contingent on the heterogeneity of the collated literature, we will perform either a meta-analysis or a narrative synthesis of the collated data.
The systematic review will aim to inform policy makers, investors, health professionals, technologists and educators about the existing evidence, potential gaps in literature and the impact of eLearning for health leadership and management capacity building on health system outcomes. We will disseminate the review findings by publishing it as a peer-reviewed journal manuscript and conference abstracts.
PROSPERO CRD42017056998.
健康领导力和管理能力对于加强卫生系统以及通过优化现有人力、技术和财务资源实现全民健康覆盖至关重要。然而，在卫生系统中，卫生领导力和管理培训并不广泛。利用信息技术进行教育（即电子学习）可以通过提供灵活、高效和可扩展的卫生领导力和管理培训来帮助解决这一培训差距。我们提出了一个系统评价方案，旨在评估电子学习在改善卫生系统成果方面对卫生领导力和管理能力建设的有效性。
我们将遵循 Cochrane 协作组织的方法。我们将搜索针对使用任何类型的电子学习模式进行卫生管理和领导力能力建设的实验研究，涉及所有类型的卫生工作者队伍。主要关注的结果将是卫生结果、财务风险保护和用户满意度。此外，次要关注的结果包括实现改善公平性、效率、效果和响应性的卫生系统目标。我们将从 1990 年起，在不限制语言的情况下，搜索已发表和灰色文献以及临床试验登记处的相关数据库。两名综述作者将独立筛选参考文献、提取数据和进行偏倚风险评估。根据汇集文献的异质性，我们将对汇集数据进行荟萃分析或叙述性综合。
系统评价旨在向政策制定者、投资者、卫生专业人员、技术人员和教育工作者提供现有证据、文献中的潜在差距以及电子学习对卫生领导力和管理能力建设对卫生系统成果的影响。我们将通过发表同行评议的期刊论文和会议摘要来传播综述结果。
PROSPERO CRD42017056998。
