中低收入国家儿童癌症服务领域劳动力的发展与培养：范围综述研究方案。
The development and education of a workforce in childhood cancer services in low- and middle-income countries: a scoping review protocol.
机构信息
The University of Melbourne, Melbourne, Australia.
Murdoch Children's Research Institute, Melbourne, Australia.
出版信息
Syst Rev. 2022 Aug 13;11(1):167. doi: 10.1186/s13643-022-02040-0.
BACKGROUND
An estimated 400,000 children develop cancer worldwide. Of those, 90% occur in low- and middle-income countries, where survival rates can be as low as 30%. To reduce the childhood cancer survival gap between high- and low- and middle-income countries (LMIC), the World Health Organization launched the Global Initiative for Childhood Cancer in 2018, to support governments in building sustainable childhood cancer programs, with the aim to increase access and quality of care for children with cancer. Developing a high-quality and trained workforce is key to the success of childhood cancer services, but more information is needed on the interventions used to develop and train a workforce. The objective of this review is to understand the key factors described in the literature in relation to the development and training of a workforce in childhood cancer (defined here as ages 0-19) in LMIC, including challenges, interventions and their outcomes.
METHODS
We will include sources of evidence that describe the development or training of a childhood cancer workforce in health services that diagnose, refer or treat children and adolescents with cancer, in low- and middle-income countries as defined by the World Bank. The following databases will be searched: OVID Medline, Embase and Pubmed from 2001 to present with no restriction of language. Grey literature searches will also be performed in Proquest Dissertation and Theses, as well as relevant organizations' websites, and conference proceedings will be searched in conference websites. In addition, references lists will be reviewed manually. Two people will screen abstracts and full-texts and extract data. Data will be presented in a table or chart, with an accompanying narrative summary responding to the review questions. A framework synthesis will be conducted: data will be charted against a framework adapted from the 2016 WHO Global Strategy for Human Resources for Heath: Workforce 2030.
DISCUSSION
This scoping review will allow to map the existing literature on workforce development in LMIC, identify potential interventions and highlight data and knowledge gaps. This constitutes a first step towards adopting successful strategies more broadly, formulating research priorities and developing effective policies and interventions.
SYSTEMATIC REVIEW REGISTRATION
Open Science Framework osf.io/3mp7n.
背景
全球估计有 40 万名儿童患癌症。其中，90%发生在低收入和中等收入国家，这些国家的生存率可能低至 30%。为了缩小高收入和低收入及中等收入国家（LMIC）之间的儿童癌症生存率差距，世界卫生组织于 2018 年发起了全球儿童癌症倡议，以支持各国建立可持续的儿童癌症方案，旨在增加癌症儿童获得护理的机会和提高护理质量。培养高质量和训练有素的劳动力是儿童癌症服务取得成功的关键，但需要更多有关用于发展和培训劳动力的干预措施的信息。本综述的目的是了解文献中描述的与在 LMIC 中发展和培训儿童癌症（此处定义为 0-19 岁）劳动力相关的关键因素，包括挑战、干预措施及其结果。
方法
我们将纳入描述在世界银行定义的低收入和中等收入国家中诊断、转诊或治疗儿童和青少年癌症的卫生服务中发展或培训儿童癌症劳动力的证据来源。将检索以下数据库：OVID Medline、Embase 和 Pubmed，从 2001 年至今，不限制语言。还将在 Proquest 论文和论文、相关组织网站中进行灰色文献搜索，并在会议网站中搜索会议记录。此外，将手动审查参考文献列表。将有两个人筛选摘要和全文并提取数据。数据将以表格或图表形式呈现，并附有一份叙述性摘要，以回答审查问题。将进行框架综合：将数据绘制成框架，该框架改编自 2016 年世卫组织全球卫生人力资源战略：2030 年劳动力。
讨论
本范围综述将允许绘制 LMIC 劳动力发展现有文献图，确定潜在干预措施，并突出数据和知识差距。这是更广泛地采用成功战略、制定研究优先事项和制定有效政策和干预措施的第一步。
系统评价注册
Open Science Framework osf.io/3mp7n。
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