No frugal innovation without frugal evaluation: the Global IDEAL Sub-Framework.

IF 2.1 Q2 SURGERY BMJ Surgery Interventions Health Technologies Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI:10.1136/bmjsit-2023-000248
William S Bolton, Noel K Aruparayil, Bonnie Cundill, Peter McCulloch, Jesudian Gnanaraj, Ibrahim Bundu, Peter R Culmer, Julia M Brown, Julian Scott, David G Jayne
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Abstract

Objective: The Global IDEAL Sub-Framework Study aimed to combine the intended effects of the 2009/2019 IDEAL (Idea, Development, Exploration, Assessment, Long-term study) Framework recommendations on evaluating surgical innovation with the vision outlined by the 2015 Lancet Commission on Global Surgery to provide recommendations for evaluating surgical innovation in low-resource environments.

Design: A mixture of methods including an online global survey and semistructured interviews (SSIs). Quantitative data were summarized with descriptive statistics and qualitative data were analyzed using the Framework Method.

Participants: Surgeons and surgical researchers from any country.

Main outcome measures: Findings were used to suggest the nature of adaptations to the IDEAL Framework to address the particular problems of evaluation in low-resource settings.

Results: The online survey yielded 66 responses representing experience from 40 countries, and nine individual SSIs were conducted. Most respondents (n=49; 74.2%) had experience evaluating surgical technologies across a range of life cycle stages. Innovation was most frequently adopted based on colleague recommendation or clinical evaluation in other countries. Four themes emerged, centered around: frugal innovation in technological development; evaluating the same technology/innovation in different contexts; additional methodologies important in evaluation of surgical innovation in low/middle-income countries; and support for low-income country researchers along the evaluation pathway.

Conclusions: The Global IDEAL Sub-Framework provides suggestions for modified IDEAL recommendations aimed at dealing with the special problems found in this setting. These will require validation in a stakeholder consensus forum, and qualitative assessment in pilot studies. From assisting researchers with identification of the correct evaluation stage, to providing context-specific recommendations relevant to the whole evaluation pathway, this process will aim to develop a comprehensive and applicable set of guidance that will benefit surgical innovation and patients globally.

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没有节俭的评估,就没有节俭的创新:全球 IDEAL 子框架。
目标:全球 IDEAL 子框架研究旨在将 2009/2019 年 IDEAL(构想、发展、探索、评估、长期研究)框架关于评估外科创新的建议的预期效果与 2015 年柳叶刀全球外科委员会概述的愿景相结合,为评估低资源环境中的外科创新提供建议:设计:采用多种方法,包括在线全球调查和半结构式访谈(SSI)。采用描述性统计对定量数据进行总结,采用框架法对定性数据进行分析:主要结果测量:主要结果测量:调查结果用于建议对 IDEAL 框架进行调整的性质,以解决低资源环境下评估的特殊问题:在线调查共收到 66 份回复,代表了来自 40 个国家的经验,并进行了 9 次个人 SSI。大多数受访者(n=49;74.2%)都有在不同生命周期阶段评估外科技术的经验。采用创新技术最常见的原因是其他国家的同行推荐或临床评估。围绕以下四个主题展开:技术开发中的节俭创新;在不同情况下评估相同的技术/创新;在中低收入国家评估外科创新的其他重要方法;以及在评估过程中为低收入国家的研究人员提供支持:全球 IDEAL 子框架为修改 IDEAL 建议提供了建议,旨在处理在这种情况下发现的特殊问题。这些建议需要在利益相关者共识论坛上进行验证,并在试点研究中进行定性评估。从协助研究人员确定正确的评估阶段,到提供与整个评估途径相关的针对具体情况的建议,这一过程旨在制定一套全面而适用的指南,使全球的外科创新和患者受益。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
22
审稿时长
17 weeks
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