research agenda

研究议程
  • 文章类型: Journal Article
    随着全球对医疗保健服务的需求持续增长,提高医疗生态系统的效率和有效性已成为一个紧迫的问题。信息系统正在改变医疗保健提供过程,将医疗服务的重点从被动疾病治疗转向主动健康预防,将医疗管理模式从以医院为中心转向以患者为中心。本研究重点回顾了IS期刊上关于电子健康的研究,致力于构建智能健康的理论模型,为今后该领域的讨论提供研究基础。此外,由于智能医疗服务的创新导致了其要素的变化(例如,利益相关者数量的增加),迫切需要对现有研究进行梳理和分析。
    As the global demand for healthcare services continues to grow, improving the efficiency and effectiveness of the healthcare ecosystem has become a pressing concern. Information systems are transforming the healthcare delivery process, shifting the focus of healthcare services from passive disease treatment to proactive health prevention and the healthcare management model from hospital-centric to patient-centric. This study focuses on reviewing research in IS journals on the topic of e-health and is dedicated to constructing a theoretical model of intelligent health to provide a research basis for future discussions in this field. In addition, as the innovation of intelligent healthcare services has led to changes in its elements (e.g., an increase in the number of stakeholders), there is an urgent need to sort out and analyze the existing research.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    人们对医疗保健中的更年期歧视越来越感兴趣,工作场所和超越。然而,对女同性恋的研究很少,同性恋,双性恋,更年期的变性和酷儿(LGBTQ+)经历。本文报告了对最新文献的范围审查,该文献发现了非常有限的文章数量和广泛的知识差距。这是与LGBTQ+更广泛的健康相关的讨论,医疗保健和工作场所不平等,更年期的异型规范和顺位规范概念化。提出了研究议程。研究应该:交叉;区分LGBTQ+亚组;旨在了解更年期经历如何影响和受少数族裔性行为/性别认同的影响;并研究更年期医疗保健和工作场所支持如何包含LGBTQ+。迫切需要进行此类研究,以确保LGBTQ+人群完全参与更年期司法讨论和解决方案。
    There is growing interest in menopause discrimination in healthcare, the workplace and beyond. However, there is a dearth of research on lesbian, gay, bisexual, transgender and queer (LGBTQ+) experiences of the menopause. This article reports on a scoping review of the recent literature which identified a very limited number of articles and a wide range of knowledge gaps. This is discussed in relation to LGBTQ+ wider health, healthcare and workplace inequalities, and heteronormative and cisnormative conceptualisations of the menopause. A research agenda is proposed. Research should: be intersectional; differentiate between LGBTQ+ sub-groups; aim to understand how menopause experiences impact and are impacted by minority sexuality/gender identities; and examine how menopause healthcare and workplace support can be LGBTQ+ inclusive. Such research is urgently needed to ensure that LGBTQ+ people are fully included in menopause justice discussions and solutions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在大数据时代,公司将健康数据商品化,不可替代令牌(NFT)为患者赋权和控制提供了一条变革性途径。NFT是区块链上独特的数字资产,代表数字对象的所有权,包括健康数据。通过将他们的数据作为NFT,患者可以跟踪访问,将其使用货币化,建立安全的,私人卫生信息系统。然而,关于医疗保健中的NFT的研究处于起步阶段,有必要进行全面审查。
    本研究对医疗保健中的NFT进行了系统的文献回顾和主题分析,以确定用例,设计模型,和关键挑战。五个多学科研究数据库(Scopus,WebofScience,谷歌学者,IEEE探索,ElsevierScienceDirect)进行了搜索。该方法包括四个阶段:论文收集,纳入/排除标准应用,筛选,全文阅读,和质量评估。采用了分类和编码框架。主题分析遵循六个步骤:数据熟悉,初始代码生成,主题搜索,主题回顾,主题定义/命名,报告生产。
    对19篇论文的分析揭示了三个主要用例:以患者为中心的数据管理,数据来源的供应链管理,数字孪生发展。值得注意的是,大多数解决方案是原型或框架,没有真实世界的实现。出现了四个总体主题:数据治理(所有权,跟踪,隐私),数据货币化(商业化、激励,共享),数据保护,和数据存储。重点在于用户控制,私人,和安全的健康数据解决方案。此外,探索数据商品化,提出了激励数据维护和共享的机制。NFT还被建议用于跟踪供应链中的医疗产品,确保数据的完整性和来源。以太坊和类似平台主导NFT铸币,同时正在探索紧凑的NFT存储选项以实现更快的数据访问。
    NFT为安全、可追溯,分散的医疗保健数据交换系统。然而,挑战存在,包括对区块链的依赖,互操作性问题,以及相关成本。审查确定了研究差距,例如开发双重所有权模型和数据定价策略。为互操作性和采用建立开放标准至关重要。可扩展性,安全,NFT支持的医疗保健应用程序的隐私需要进一步调查。因此,这项研究提出了在医疗保健中采用NFT的研究议程,专注于治理,存储模型,和感知。
    UNASSIGNED: In the big data era, where corporations commodify health data, non-fungible tokens (NFTs) present a transformative avenue for patient empowerment and control. NFTs are unique digital assets on the blockchain, representing ownership of digital objects, including health data. By minting their data as NFTs, patients can track access, monetize its use, and build secure, private health information systems. However, research on NFTs in healthcare is in its infancy, warranting a comprehensive review.
    UNASSIGNED: This study conducted a systematic literature review and thematic analysis of NFTs in healthcare to identify use cases, design models, and key challenges. Five multidisciplinary research databases (Scopus, Web of Science, Google Scholar, IEEE Explore, Elsevier Science Direct) were searched. The approach involved four stages: paper collection, inclusion/exclusion criteria application, screening, full-text reading, and quality assessment. A classification and coding framework was employed. Thematic analysis followed six steps: data familiarization, initial code generation, theme searching, theme review, theme definition/naming, and report production.
    UNASSIGNED: Analysis of 19 selected papers revealed three primary use cases: patient-centric data management, supply chain management for data provenance, and digital twin development. Notably, most solutions were prototypes or frameworks without real-world implementations. Four overarching themes emerged: data governance (ownership, tracking, privacy), data monetization (commercialization, incentivization, sharing), data protection, and data storage. The focus lies on user-controlled, private, and secure health data solutions. Additionally, data commodification is explored, with mechanisms proposed to incentivize data maintenance and sharing. NFTs are also suggested for tracking medical products in supply chains, ensuring data integrity and provenance. Ethereum and similar platforms dominate NFT minting, while compact NFT storage options are being explored for faster data access.
    UNASSIGNED: NFTs offer significant potential for secure, traceable, decentralized healthcare data exchange systems. However, challenges exist, including dependence on blockchain, interoperability issues, and associated costs. The review identified research gaps, such as developing dual ownership models and data pricing strategies. Building an open standard for interoperability and adoption is crucial. The scalability, security, and privacy of NFT-backed healthcare applications require further investigation. Thus, this study proposes a research agenda for adopting NFTs in healthcare, focusing on governance, storage models, and perceptions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:尽管在过去的25年中,关于暴力侵害妇女行为(VAW)的证据大量增加,VAW仍然存在,该领域在如何预防和应对方面的知识差距也是如此。为了确保低收入和中等收入国家(LIMC)的VAW研究正在解决最重大的知识差距,并优先考虑证据需求,以减少VAW并更好地支持受害者/幸存者,性暴力研究倡议(SVRI)和平等研究所(EQI)牵头制定了关于LMICVAW的全球共享研究议程(GSRA)。
    方法:GSRA是通过对儿童健康与营养研究计划(CHNRI)方法的六阶段适应而开发的,它借鉴了“人群智慧”的原则。这些步骤包括:审查有关低收入国家的VAW和领域发展的文献;咨询小组在四个领域内提出研究问题;合并研究问题;全球专家组和咨询小组根据三个标准对研究问题进行评分(适用性,有效性和公平性);与咨询小组协商和验证调查结果;广泛传播调查结果。
    结果:GSRA中排名最高的研究问题涉及干预研究领域,一些排名很高的问题也涉及以多种形式理解VAW的领域。其他两个领域的问题,改善现有干预措施,以及方法和测量方面的差距,没有被专家们高度重视。根据专家的特点,排名靠前的研究问题有很强的一致性,尽管根据专家的性别有一些重要的差异,职业和地理位置。
    结论:GSRA的研究结果表明,经过数十年的证据来了解VAW,目前VAW领域正在转向干预研究。包括患病率,暴力的驱动因素和影响。研究结果还表明,高度重视服务不足的人群,以及对VAW的形式研究不足。寻求知识非殖民化的低收入和中等收入国家未来的优先事项设定工作应确保,和参与方式,把不同的声音放在参与的中心。试用注册不适用。
    BACKGROUND: Despite a large growth in evidence on violence against women (VAW) over the last 25 years, VAW persists, as do gaps in the field\'s knowledge of how to prevent and respond to it. To ensure that research on VAW in low- and middle-income countries (LIMCs) is addressing the most significant gaps in knowledge, and to prioritise evidence needs to reduce VAW and better support victims/survivors, the Sexual Violence Research Initiative (SVRI) and Equality Institute (EQI) led a process of developing a global shared research agenda (GSRA) on VAW in LMICs.
    METHODS: The GSRA was developed through a six-stage adaptation of the Child Health and Nutrition Research Initiative (CHNRI) method, which draws on the principle of the \'wisdom of the crowd\'. These steps included: a review of the literature on VAW in LMICs and development of domains; the generation of research questions within four domains by an Advisory Group; the consolidation of research questions; scoring of research questions by a Global Expert Group and the Advisory Group according to three criteria (applicability, effectiveness and equity); consultation and validation of the findings with the Advisory Group; and wide dissemination of the findings.
    RESULTS: The highest ranked research questions in the GSRA pertain to the domain of Intervention research, with some highly ranked questions also pertaining to the domain of Understanding VAW in its multiple forms. Questions under the other two domains, Improving existing interventions, and Methodological and measurement gaps, were not prioritised as highly by experts. There was strong consistency in top ranked research questions according to experts\' characteristics, albeit with some important differences according to experts\' gender, occupation and geographical location.
    CONCLUSIONS: The GSRA findings suggest that currently the VAW field is shifting towards intervention research after several decades of building evidence on understanding VAW, including prevalence, drivers and impacts of violence. The findings also suggest a strong emphasis on under-served populations, and under-researched forms of VAW. Future priority setting exercises in LMICs that seek to decolonise knowledge should ensure that methodologies, and modalities of engagement, put diverse voices at the centre of engagement. Trial registration Not applicable.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:詹姆斯·林德联盟(JLA)优先设置合作伙伴关系(PSP)通过结构化,与患者或服务用户共享决策过程,护理人员和健康或护理专业人员确定对他们最重要的问题。迄今为止,在不同的健康和护理领域,超过150个PSP公布了研究重点。一些PSP具有相似的优先级,可以结合起来,通过合作研究促进和解决,以增加价值和减少研究浪费。
    目的:本研究的目的是确定JLAPSP优先事项在不同健康和护理领域的共同主题。
    方法:我们的分析包括英国JLAPSP在2016年至2020年期间制定的“十大”研究重点。优先事项由健康研究分类系统(HRCS)健康类别和研究活动演绎编码。然后,我们与患者进行了在线研讨会,服务用户和护理人员,以生成此框架尚未捕获的新代码。在每个代码中,多利益相关者归纳主题分析用于确定总体主题,定义为涵盖涵盖两个或更多健康类别的三个或更多PSP的优先级。我们使用codesign方法来生成一个交互式工具,供最终用户浏览总体主题。
    结果:我们的分析包括了来自51个PSP的五百十五个研究重点。优先事项共包括21个HRCS健康类别中的20个,最常见的是“一般健康相关性”(22%),“心理健康”(18%)和“肌肉骨骼”(14%)。我们确定了89个总体主题和次主题,我们将其组织成一个包含七个顶级主题的层次结构:生活质量,看护者和家庭,原因和预防,筛查和诊断,治疗和管理,服务和系统以及社会影响和影响。
    结论:在多个健康和护理领域的研究重点中,有许多共同的总体主题。为了促进新的研究和研究资金,我们开发了一种互动工具来帮助研究人员,资助者和患者或服务用户来探索这些优先主题。这是免费的在线下载。
    患者或服务使用者和照顾者参与了整个研究,包括决定目标,设计研究,分析优先事项以确定主题,解释和报告调查结果。
    BACKGROUND: James Lind Alliance (JLA) Priority Setting Partnerships (PSPs) produce \'Top 10\' lists of health and care research priorities through a structured, shared decision-making process with patients or service users, carers and health or care professionals who identify questions that are most important to them. To date, over 150 PSPs in different areas of health and care have published research priorities. Some PSPs share similar priorities, which could be combined, promoted and addressed through collaborative research to increase value and reduce research waste.
    OBJECTIVE: The aim of this study was to identify overarching themes common to JLA PSP priorities across different areas of health and care.
    METHODS: Our analysis included \'Top 10\' research priorities produced by UK-based JLA PSPs between 2016 and 2020. The priorities were coded deductively by the Health Research Classification System (HRCS) health category and research activity. We then carried out online workshops with patients, service users and carers to generate new codes not already captured by this framework. Within each code, multistakeholder inductive thematic analysis was used to identify overarching themes, defined as encompassing priorities from three or more PSPs covering two or more health categories. We used codesign methods to produce an interactive tool for end users to navigate the overarching themes.
    RESULTS: Five hundred and fifteen research priorities from 51 PSPs were included in our analysis. The priorities together encompassed 20 of 21 HRCS health categories, the most common being \'generic health relevance\' (22%), \'mental health\' (18%) and \'musculoskeletal\' (14%). We identified 89 overarching themes and subthemes, which we organised into a hierarchy with seven top-level themes: quality of life, caregivers and families, causes and prevention, screening and diagnosis, treatment and management, services and systems and social influences and impacts.
    CONCLUSIONS: There are many overarching themes common to research priorities across multiple areas of health and care. To facilitate new research and research funding, we have developed an interactive tool to help researchers, funders and patients or service users to explore these priority topics. This is freely available to download online.
    UNASSIGNED: Patients or service users and carers were involved throughout the study, including deciding the aims, designing the study, analysing priorities to identify themes, interpreting and reporting the findings.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    ACMT认识到高质量研究在推进医学科学中的关键作用。因此,为ACMT建立正式的研究议程是沟通学院优先事项的飞跃,其成员,以及我们服务的患者群体。这个精心设计的议程将成为ACMT的战略指南针,指导我们对科学发现的追求,促进创新,并提高受中毒和暴露影响的患者和社区的预后。
    ACMT recognizes the pivotal role of high-quality research in advancing medical science. As such, the establishment of a formal research agenda for ACMT is a leap forward in communicating the priorities of the College, its members, and the patient populations we serve. This thoughtfully crafted agenda will serve as a strategic compass for ACMT, guiding our pursuit of scientific discovery, fostering innovation, and enhancing outcomes for patients and communities affected by poisonings and exposures.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:全科医学领域(GP-HPE)的卫生专业教育(HPE)研究对于高质量的医疗保健至关重要。GP-HPE研究人员之间的合作至关重要,但具有挑战性。制定研究议程,涉及利益相关者,促进机构间合作可以应对这些挑战,并将教育研究和实践联系起来。
    方法:我们使用Q方法来探索来自所有荷兰研究生GP培训机构的参与者对GP-HPE研究的观点。参与者根据未来GP-HPE研究与教育实践的相关性对陈述进行了单独排序。数据分析包括反向因子分析,旋转,并对所有语句的配置进行定性解释。全国教育研究会议采取了参与性方法。
    结果:我们纳入了73名参与GP-HPE研究的参与者。我们确定了五个不同的观点,每个都代表了发展和创新GP教育的研究重点领域:临床医生科学家,社会参与的全科医生,特定的GP身份,作为企业家的GP,和GP从事终身学习。
    结论:由此产生的五个观点与全科医学标志一致。Q方法和参与性方法促进了利益攸关方之间的合作。成功的机构间合作需要一个共同的目标,中立的领导,参与者承诺,定期会议,审计跟踪支持,流程透明度,和反身性。未来的研究应该解决这些观点中的证据差距。
    结论:使用Q方法对于编制GP-HPE研究的国家研究议程很有价值。研究过程有助于跨越不同机构研究人员之间的界限,从而将机构间协作优势置于中心舞台。我们的方法可以为全世界的HPE研究人员提供一个可以想象的程序。
    BACKGROUND: Health professions education (HPE) research in the General Practice domain (GP-HPE) is vital for high-quality healthcare. Collaboration among GP-HPE researchers is crucial but challenging. Formulating a research agenda, involving stakeholders, and fostering inter-institutional collaboration can address these challenges and connect educational research and practice.
    METHODS: We used Q-methodology to explore perspectives on GP-HPE research of participants from all Dutch postgraduate GP training institutes. Participants individually sorted statements based on the relevance of future GP-HPE research for educational practice. Data analysis comprised inverted factor analysis, rotation, and qualitative interpretation of configurations of all statements. The National Meeting on Educational Research took a participatory approach.
    RESULTS: We included 73 participants with diverse involvement in GP-HPE research. We identified five distinct perspectives, each representing a research focus area for developing and innovating GP education: the clinician scientist, the socially engaged GP, the specific GP identity, the GP as an entrepreneur, and the GP engaged in lifelong learning.
    CONCLUSIONS: The resulting five perspectives align with General Practice hallmarks. Q-methodology and a participatory approach facilitated collaboration among stakeholders. Successful inter-institutional collaboration requires a common goal, neutral leadership, participant commitment, regular meetings, audit trail support, process transparency, and reflexivity. Future research should address evidence gaps within these perspectives.
    CONCLUSIONS: Using Q-methodology turned out to be valuable for compiling a national research agenda for GP-HPE research. The research process helped to cross boundaries between researchers in different institutions, thus putting inter-institutional collaborative advantage center stage. Our approach could provide a conceivable procedure for HPE researchers worldwide.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    职业安全与健康(OSH)已成为组织和机构日益关注的领域。随着它的发展,它逐渐提出了持续的挑战,变得越来越复杂,对于组织。因此,需要更全面的研究来推进学术和机构研究。从这个角度来看,本研究旨在收集现有干预措施对改善职业健康健康的有效性的研究贡献,并确定需要进一步探索的领域.
    根据科学文献的性质,文献综述的整个过程是按照综合方法进行调查的,其中涉及寻找,选择,以创造性和综合性的方式分析各种文献,没有预定义的结构。
    分析表明,在理解OSH干预措施的有效性方面还有改进的空间,仍然需要更具体的指导。根据文献,确定了OSH干预措施未来发展的一些研究领域.进一步探索的一个潜在领域是促进以人为本的技术发展和更有意识的利益相关者网络,有了更高的协调性,共享知识,开放的沟通。
    专注于拟议的方向将支持学者和从业人员通过更有效和有根据的工作场所干预措施追求持续的OSH改进,并鼓励组织在日常OSH管理中积极主动。
    UNASSIGNED: Occupational Safety and Health (OSH) has become an area of increasing concern for organizations and institutions. As it evolves, it has gradually posed ongoing challenges, becoming more complex, for organizations. Consequently, more comprehensive studies are required to advance academic and institutional research. From this perspective, this study aims to gather research contributions on the effectiveness of existing interventions for OSH improvement and identify areas for further exploration.
    UNASSIGNED: According to the nature of scientific literature, the overall process of a literature review was investigated following an integrative approach, which involved searching for, selecting, and analyzing various literature in a creative and integrated manner, without a predefined structure.
    UNASSIGNED: The analysis suggests that there is room for improvement in understanding the effectiveness of OSH interventions and more concrete guidance is still desirable. Based on the literature, some research areas for future developments in OSH interventions are identified. One potential area to explore further is fostering human-centered technological development and a more conscious network of stakeholders, with higher coordination, shared knowledge, and open communication.
    UNASSIGNED: Focusing on the proposed directions will support scholars and practitioners in pursuing continuous OSH improvement through more effective and well-grounded workplace interventions and encourage organizations to be proactive in daily OSH management.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    全世界约有6.58亿人感染了COVID-19,数百万人患有与长期COVID相关的化学感觉障碍。目前对味觉和嗅觉障碍的治疗是有限的。让患者参与有可能促进动态交流和开发新的想法和方法,以促进生物医学研究和治疗。我们使用由美国5,815人完成的在线问卷评估了患者对化学感觉障碍治疗效果的看法。Logistic回归确定的变量可预测18-24、25-39、40-60和60岁以上患者的报告治疗效果。他们接受了鼻腔类固醇治疗,口服类固醇,锌,鼻腔冲洗,嗅觉训练,茶碱,富血小板血浆,欧米茄3最一致的预测因素是年龄,大多数40-60岁和60岁以上的人报告鼻腔类固醇,口服类固醇,锌,鼻腔冲洗和嗅觉训练仅略微有效或根本无效。许多这些治疗策略的目标是再生和免疫反应,受年龄影响的过程。只有40岁以下的人报告了类固醇或嗅觉训练的轻微功效。研究结果强调需要将所有年龄段的患者纳入临床试验。嗅觉受损的老年人患阿尔茨海默病(AD)的风险增加。我们推测,与长期COVID相关的嗅觉障碍可能导致AD显著上升。长期COVID相关的化学感受器损害增加了对新型治疗策略的转化和临床研究的紧迫性。对流行病学高度优先领域的建议,基本的,和化学感受损害的临床研究。
    World-wide some 658 million people were infected with coronavirus disease 2019 (COVID-19) and millions suffer from chemosensory impairment associated with long COVID. Current treatments for taste and smell disorders are limited. Involving patients has the potential to catalyze the dynamic exchange and development of new ideas and approaches to facilitate biomedical research and therapeutics. We assessed patients\' perceptions of the efficacy of treatments for chemosensory impairment using an online questionnaire completed by 5,815 people in the US Logistic regression determined variables predictive of reported treatment efficacy for patients aged 18 to 24, 25 to 39, 40 to 60, and 60+ yrs. who were treated with nasal steroids, oral steroids, zinc, nasal rinse, smell training, theophylline, platelet-rich plasma, and Omega 3. The most consistent predictor was age, with the majority of those 40 to 60 and 60+ reporting that nasal steroids, oral steroids, zinc, nasal rinse, and smell training were only slightly effective or not effective at all. Many of these treatment strategies target regeneration and immune response, processes compromised by age. Only those under 40 reported more than slight efficacy of steroids or smell training. Findings emphasize the need to include patients of all ages in clinical trials. Older adults with olfactory impairment are at increased risk for Alzheimer\'s disease (AD). We speculate that olfactory impairment associated with long COVID introduces the potential for a significant rise in AD. Long COVID-associated chemosensory impairment increases the urgency for translational and clinical research on novel treatment strategies. Suggestions for high-priority areas for epidemiological, basic, and clinical research on chemosensory impairment follow.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号