Kabiri Neda, Khodayari-Zarnaq Rahim, Khoshbaten Manouchehr, Janati Ali
Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Int J Prev Med. 2022 Jan 19;13:8. doi: 10.4103/ijpvm.IJPVM_419_20. eCollection 2022.
This qualitative systematic review was conducted to summarize the policies for prevention of common gastrointestinal cancers worldwide. This study was conducted using PubMed, Web of Science, SCOPUS, and ProQuest databases. Two independent reviewers assessed included studies for methodological quality and extracted data by using standardized tools from Joanna Briggs Institute (JBI). Primary study findings were read and reread to identify the strategies or policies used in the studies for prevention of gastrointestinal cancers. The extracted findings were categorized on the basis of their similarity in meaning. These categories were then subjected to a meta-synthesis. The final synthesized findings were graded according to the ConQual approach for establishing confidence in the output of qualitative research synthesis. From the nine included studies in this review, 39 findings were extracted and based on their relevance in meaning were aggregated into 12 categories. Four synthesized findings were developed from these categories. We used World Health Organization report on 2000 for synthesizing the findings. The four synthesized findings were "service provision", "resource generation", "financing", and "stewardship". In order to reach a comprehensive evidence informed policy package for the prevention of gastrointestinal cancers, there should be a great communication among the interventions conducted directly on patients, health system infrastructures, and resources.
本定性系统评价旨在总结全球预防常见胃肠道癌症的政策。本研究通过PubMed、Web of Science、SCOPUS和ProQuest数据库进行。两名独立评审员评估纳入研究的方法学质量，并使用乔安娜·布里格斯研究所（JBI）的标准化工具提取数据。对主要研究结果进行反复阅读，以确定研究中用于预防胃肠道癌症的策略或政策。提取的结果根据其意义的相似性进行分类。然后对这些类别进行元综合。根据ConQual方法对最终综合结果进行分级，以确定对定性研究综合结果的信心。从本评价纳入的9项研究中，提取了39项结果，并根据其意义相关性汇总为12类。从这些类别中得出了4项综合结果。我们使用世界卫生组织2000年的报告来综合这些结果。这4项综合结果分别是“服务提供”、“资源生成”、“融资”和“管理”。为了达成一个全面的、基于证据的预防胃肠道癌症的政策包，直接针对患者开展的干预措施、卫生系统基础设施和资源之间应进行充分沟通。
