School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia.
Disaster Med Public Health Prep. 2024 Sep 18;18:e136. doi: 10.1017/dmp.2024.103.
The aim of this review is to identify, evaluate, and graphically display gaps in the literature related to scarce health resource allocation in humanitarian aid settings.
A systematic search strategy was utilized in MEDLINE (via Ovid), Scopus, EMBASE, CINAHL Complete, and ProQuest Central. Articles were reviewed by 2 reviewers with a third reviewer remedying any screening conflicts. Articles meeting inclusion criteria underwent data extraction to facilitate evaluation of the scope, nature, and quality of experience-based evidence for health resource allocation in humanitarian settings. Finally, articles were mapped on a matrix to display evidence graphically.
The search strategy identified 6093 individual sources, leaving 4000 for screening after removal of duplicates. Following full-text screening, 12 sources were included. Mapping extracted data according to surge capacity domains demonstrated that all 4 domains were reflected most of all the staff domain. Much of the identified data was presented without adhering to a clear structure or nomenclature. Finally, the mapping suggested potential incompleteness of surge capacity constructs in humanitarian response settings.
Through this review, we identified a gap in evidence available to address challenges associated with scarce resource allocation in humanitarian settings. In addition to presenting the distribution of existing literature, the review demonstrated the relevance of surge capacity and resource allocation principles underpinning the developed framework.
本综述旨在识别、评估和以图形方式展示人道主义援助环境中稀缺卫生资源分配方面的文献差距。
我们在 MEDLINE（通过 Ovid）、Scopus、EMBASE、CINAHL Complete 和 ProQuest Central 中采用了系统搜索策略。由 2 名评审员对文章进行评审，若出现评审冲突，则由第 3 名评审员进行处理。符合纳入标准的文章进行了数据提取，以评估人道主义环境中卫生资源分配的经验证据的范围、性质和质量。最后，文章被映射到矩阵上，以图形方式展示证据。
搜索策略确定了 6093 个单独的来源，去除重复项后留下 4000 个进行筛选。经过全文筛选，纳入了 12 篇文章。根据应急能力领域映射提取的数据表明，所有 4 个领域都反映了员工领域的大部分情况。大部分已确定的数据都是在没有明确结构或命名法的情况下呈现的。最后，映射结果表明人道主义应对环境中的应急能力结构可能存在不完整。
通过本次综述，我们发现了在解决人道主义环境中稀缺资源分配相关挑战方面可用证据的差距。除了呈现现有文献的分布情况外，该综述还展示了应急能力和资源分配原则在既定框架下的相关性。
