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在跨学科和多国环境中规划整体总结性电子健康评估:案例研究和指南制定建议。

Planning a holistic summative eHealth evaluation in an interdisciplinary and multi-national setting: a case study and propositions for guideline development.

机构信息

Centre for Healthcare Improvement (CHI), Chalmers University of Technology, Vera Sandbergs allé 8, 41296, Gothenburg, Sweden.

NTNU, Sentralbygg 1, Gløshaugen, Alfred Getz vei 3, Trondheim, Norway.

出版信息

BMC Med Inform Decis Mak. 2021 Feb 17;21(1):60. doi: 10.1186/s12911-021-01399-9.

Abstract

BACKGROUND

Summative eHealth evaluations frequently lack quality, which affects the generalizability of the evidence, and its use in practice and further research. To guarantee quality, a number of activities are recommended in the guidelines for evaluation planning. This study aimed to examine a case of an eHealth evaluation planning in a multi-national and interdisciplinary setting and to provide recommendations for eHealth evaluation planning guidelines.

METHODS

An empirical eHealth evaluation process was developed through a case study. The empirical process was compared with selected guidelines for eHealth evaluation planning using a pattern-matching technique.

RESULTS

Planning in the interdisciplinary and multi-national team demanded extensive negotiation and alignment to support the future use of the evidence created. The evaluation planning guidelines did not provide specific strategies for different set-ups of the evaluation teams. Further, they did not address important aspects of quality evaluation, such as feasibility analysis of the outcome measures and data collection, monitoring of data quality, and consideration of the methods and measures employed in similar evaluations.

CONCLUSIONS

Activities to prevent quality problems need to be incorporated in the guidelines for evaluation planning. Additionally, evaluators could benefit from guidance in evaluation planning related to the different set-ups of the evaluation teams.

摘要

背景

总结性电子健康评估常常缺乏质量,这影响了证据的可推广性及其在实践和进一步研究中的应用。为了保证质量,评估规划指南中建议了许多活动。本研究旨在考察一个多国家和跨学科背景下的电子健康评估规划案例,并为电子健康评估规划指南提供建议。

方法

通过案例研究开发了一种实证电子健康评估过程。使用模式匹配技术,将实证过程与选定的电子健康评估规划指南进行了比较。

结果

跨学科和跨国团队的规划需要进行广泛的协商和调整,以支持未来使用所产生的证据。评估规划指南没有为评估团队的不同设置提供具体的策略。此外,它们没有涉及质量评估的重要方面,例如结局测量和数据收集的可行性分析、数据质量监测,以及类似评估中所采用的方法和措施的考虑。

结论

需要在评估规划指南中纳入预防质量问题的活动。此外,评估人员可以从与评估团队的不同设置相关的评估规划方面获得指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd29/7888081/ca41063e9dc8/12911_2021_1399_Fig1_HTML.jpg

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