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走向无纸化:坦桑尼亚一家健康培训机构中电子研究伦理信息管理系统的优势与局限

Going paperless: the strengths and limitations of electronic research ethics information management system in a health training institution in Tanzania.

作者信息

Mkumbwa Rebecca D, Pancras Godwin, Sirili Nathanael S

机构信息

Department of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Department of Bioethics and Health Professionalism, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

出版信息

BMC Health Serv Res. 2025 Jan 3;25(1):12. doi: 10.1186/s12913-024-12151-0.

Abstract

BACKGROUND

Over the years, the processing of research proposals for ethical approvals have been done manually through a review of hard copies. Longer turn-around-time, increased financial costs to researchers and cumbersome submission processes are few of the challenges inherent to paper-based review of research proposals. This has necessitated the shift to electronic management of research proposals, Research Ethics Information Management Systems (REIMS). Still, the advantages of going paperless and inherent drawbacks remain unsubstantiated, hence the aim of this study.

METHODS

We adopted a pre and post evaluation design using a qualitative approach, where 16 faculty members of the Muhimbili University of Health and Allied Sciences were interviewed. Participants were purposefully recruited to include only those who had been exposed to both the paper-based research ethics review system and REIMS. The faculty were stratified into two groups: researchers and research ethics committee members. Thematic analysis using inductive approach was used to develop and analyze gathered information.

RESULTS

The study unveiled the strengths and limitations of REIMS as two important themes. The strengths included convenience in the use of the system and improved records management. The limitations included demand for reliable ICT resources and limited reviewer-researcher interaction.

CONCLUSION

The findings of this study underscore the strengths and limitations of going paperless and employment of REIMS. Institutions aspiring to adapt the system can learn from this experience and devise ways to overcome the limitations. We recommend system automation, strengthening the institutional capacity and further studies to be conducted on the adoptability of REIMS especially in resource limited settings.

摘要

背景

多年来,研究提案的伦理审批流程一直是通过人工审阅纸质副本进行的。周转时间长、研究人员财务成本增加以及提交过程繁琐,这些都是基于纸质的研究提案评审所固有的一些挑战。这就使得有必要转向研究提案的电子管理,即研究伦理信息管理系统(REIMS)。然而,无纸化办公的优势和内在缺点仍未得到证实,因此开展了本研究。

方法

我们采用了一种定性的前后评估设计,对穆希姆比利健康与联合科学大学的16名教员进行了访谈。有目的地招募参与者,仅包括那些既接触过基于纸质的研究伦理审查系统又接触过REIMS的人。教员被分为两组:研究人员和研究伦理委员会成员。采用归纳法进行主题分析,以开发和分析收集到的信息。

结果

该研究揭示了REIMS的优势和局限性这两个重要主题。优势包括系统使用方便和记录管理得到改善。局限性包括对可靠信息通信技术资源的需求以及评审员与研究人员之间的互动有限。

结论

本研究结果强调了无纸化办公和使用REIMS的优势与局限性。有志于采用该系统的机构可以借鉴这一经验,并想出克服这些局限性的方法。我们建议实现系统自动化、加强机构能力,并就REIMS的适用性开展进一步研究,尤其是在资源有限的环境中。

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