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世卫组织 STARS 的制定:一种用于系统评估康复情况的工具。

Development of the WHO STARS: A Tool for the Systematic Assessment of Rehabilitation Situation.

机构信息

Institute for Medical Informatics, Biometry, and Epidemiology, Pettenkofer School of Public Health, Ludwig-Maximilians-University Munich, Munich, Germany; Sensory Functions, Disability, and Rehabilitation Unit, Department for Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.

Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Swiss Paraplegic Research, Nottwil, Switzerland; Center for Rehabilitation in Global Health Systems, WHO Collaborating Center, University of Lucerne, Lucerne, Switzerland.

出版信息

Arch Phys Med Rehabil. 2022 Jan;103(1):29-43. doi: 10.1016/j.apmr.2021.04.025. Epub 2021 Jul 10.

Abstract

OBJECTIVE

To present the development process of the World Health Organization (WHO) Systematic Assessment of Rehabilitation Situation (STARS).

DESIGN

A conceptualization phase to establish its objective and identify the content for comprehensively describing rehabilitation in countries, a second phase to draft, and a third phase to refine the tool. Reviews of existing health system assessment (HSA) tools used in other areas of health as well as expert consultations occurred.

SETTING

The WHO initiated the development of STARS because there is currently no comprehensive HSA tool for rehabilitation that supports stakeholders describing their country situation and identifying priority actions.

PARTICIPANTS

The WHO rehabilitation team, experts representing rehabilitation professions and from all WHO regions, and government and rehabilitation consumer groups.

INTERVENTIONS

Conceptualizing, drafting, consulting, and reviewing of the WHO STARS.

MAIN OUTCOMES MEASURES

Development of a tool that is comprehensive and able to support countries to describe rehabilitation and identify priorities.

RESULTS

STARS was developed in a participatory process, uses a logic model to structure the 50 components of rehabilitation selected for assessment, and assesses both capacity and performance.

CONCLUSIONS

STARS is the first HSA shaped to rehabilitation, has been developed by the WHO in a participatory process based on several expert consultations, and has the potential to meaningfully support governments to better understand the status of rehabilitation in their countries, define priorities for action to strengthen rehabilitation, and facilitate the monitoring of system level changes. Moreover, STARS information can be used in research to support evidence-informed policy and programs.

摘要

目的

介绍世界卫生组织(WHO)系统康复评估(STARS)的制定过程。

设计

确定目标并明确用于全面描述各国康复情况的内容的概念化阶段、起草阶段和完善工具的第三阶段。对其他卫生领域中使用的现有卫生系统评估(HSA)工具进行了审查,并征求了专家意见。

背景

由于目前没有支持利益攸关方描述其国家情况和确定优先行动的全面康复 HSA 工具,因此,WHO 启动了 STARS 的制定工作。

参与者

WHO 康复团队、代表康复专业且来自世卫组织所有区域的专家以及政府和康复消费者团体。

干预措施

制定、协商和审查 WHO STARS。

主要结果测量指标

开发一种全面且能够支持国家描述康复情况和确定优先事项的工具。

结果

STARS 是在参与式进程中制定的,使用逻辑模型来构建评估中选择的 50 个康复组成部分,并评估能力和绩效。

结论

STARS 是第一个针对康复的 HSA,由 WHO 在多次专家协商的参与式进程中制定,有可能为政府提供有意义的支持,以更好地了解其国家康复状况,确定加强康复的优先行动,并促进系统层面变化的监测。此外,STARS 信息可用于研究,以支持循证政策和方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ddf/8769206/ba30350962ec/gr1.jpg

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