PDF(Pubmed)
Abstract：
UNASSIGNED: Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs.
UNASSIGNED: An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ 2 and ANOVA analyses.
UNASSIGNED: Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent\'s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%).
UNASSIGNED: There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.
UNASSIGNED: An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ 2 and ANOVA analyses.
UNASSIGNED: Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent\'s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%).
UNASSIGNED: There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.
摘要：
■围手术期数据对于提高手术护理的安全性至关重要。然而,来自低收入和中等收入国家(LMICs)的手术结局研究(SOR)不成比例地稀疏.我们旨在评估实践，障碍,主持人，以及影响LMIC手术结果数据（SOD）收集和使用的观念。
■开发了一项基于互联网的调查，并将其传播给参与LMIC手术患者护理的利益相关者。常规信息系统绩效管理框架用于探索组织的频率和相对重要性，技术,和行为障碍。使用χ2和ANOVA分析确定关联。
■最终分析包括229名外科医生，麻醉提供者，护士,和来自36个独立的LMIC的管理员。共有58.1％的人报告说他们的机构有收集SOD的经验，其中73％报告对患者护理有积极影响。导师和研究培训是在<50%的受访者的机构;然而，那些有这些的人更有可能发表SOD（P=0.02）。16个障碍达到了重要性的门槛，其中前3个是临床责任负担，研究费用,和医疗文件的准确性。最经常提出的解决方案是提供电子数据收集平台(95.3%),专职研究人员(93.2%)，并获得研究培训(93.2%)。
■收集超氧化物歧化酶有几个障碍和促进因素，这在LMIC中很常见。其中大多数可以通过有针对性的干预措施来解决，并在本研究中得到强调。我们提供了在LMIC中推进SOR的途径。
■开发了一项基于互联网的调查，并将其传播给参与LMIC手术患者护理的利益相关者。常规信息系统绩效管理框架用于探索组织的频率和相对重要性，技术,和行为障碍。使用χ2和ANOVA分析确定关联。
■最终分析包括229名外科医生，麻醉提供者，护士,和来自36个独立的LMIC的管理员。共有58.1％的人报告说他们的机构有收集SOD的经验，其中73％报告对患者护理有积极影响。导师和研究培训是在<50%的受访者的机构;然而，那些有这些的人更有可能发表SOD（P=0.02）。16个障碍达到了重要性的门槛，其中前3个是临床责任负担，研究费用,和医疗文件的准确性。最经常提出的解决方案是提供电子数据收集平台(95.3%),专职研究人员(93.2%)，并获得研究培训(93.2%)。
■收集超氧化物歧化酶有几个障碍和促进因素，这在LMIC中很常见。其中大多数可以通过有针对性的干预措施来解决，并在本研究中得到强调。我们提供了在LMIC中推进SOR的途径。
