Department of Primary Care and Public Health, Imperial College London, London, UK.
Department of Public Health, Federal Ministry of Health, Abuja, Federal Capital Territory, Nigeria.
BMJ Open. 2022 Feb 11;12(2):e058067. doi: 10.1136/bmjopen-2021-058067.
Despite health applications becoming ubiquitous and with enormous potential to facilitate self-management, regulatory challenges such as poor application quality, breach of data privacy and limited interoperability have impeded their full adoption. While many countries now have digital health-related policies/strategies, there is also a need for regulatory standards and guidance that address key regulatory challenges associated with the use of health applications. Currently, it is unclear the status of countries in Africa regarding regulatory standards and guidance that address the use of health applications.This protocol describes the process of conducting a scoping review which aims to investigate the extent to which regulatory standards and guidance address the use of health applications for self-management within the WHO African Region countries.
The review will follow the methodological framework for conducting a scoping study by Arksey and O'Malley (2005), and the updated methodological guidance for conducting a Joanna Briggs Institute (JBI) scoping review. Given that regulatory standards and guidance are unlikely to be available in scientific databases, we will search Scopus, Google, OpenGrey, WHO Regional Office for Africa Library (AFROLIB), African Index Medicus (AIM), websites of WHO, ITU and Ministries of Health, repositories for digital health policies. We will also search the reference lists of included documents, and contact key stakeholders in the region. Results will be reported using descriptive qualitative content analysis based on the review objectives. The policy analysis framework by Walt and Gilson (1994) will be used to organise findings. A summary of the key findings will be presented using tables, charts and maps.
The collection of primary data is not anticipated in this study and hence ethical approval will not be required. The review will be published in a peer-reviewed journal while key findings will be shared with relevant organisations and/or presented at conferences.
尽管健康应用已经无处不在,并且具有巨大的促进自我管理的潜力,但监管方面的挑战,如应用质量差、数据隐私泄露和有限的互操作性,阻碍了它们的全面采用。虽然许多国家现在都有与数字健康相关的政策/战略,但也需要有监管标准和指导,以解决与使用健康应用相关的关键监管挑战。目前,尚不清楚非洲国家在解决与使用健康应用相关的监管标准和指导方面的状况。本方案描述了进行范围综述的过程,旨在调查世界卫生组织非洲区域国家在多大程度上制定了监管标准和指导,以规范健康应用在自我管理中的使用。
本综述将遵循阿斯基和奥马利(2005 年)提出的进行范围研究的方法框架,以及用于进行乔安娜·布里格斯研究所(JBI)范围综述的最新方法指南。鉴于监管标准和指导不太可能在科学数据库中提供,我们将在 Scopus、Google、OpenGrey、世界卫生组织非洲区域办事处图书馆(AFROLIB)、非洲医学索引(AIM)、世界卫生组织、国际电联和卫生部网站、数字健康政策知识库中进行搜索。我们还将搜索所纳入文件的参考文献列表,并联系该区域的主要利益攸关方。结果将根据审查目标使用描述性定性内容分析进行报告。将使用 Walt 和 Gilson(1994 年)的政策分析框架对调查结果进行组织。将使用表格、图表和地图总结关键发现。
本研究预计不会收集原始数据,因此不需要伦理批准。综述将在同行评议的期刊上发表,同时将关键发现与相关组织共享或在会议上展示。