评估数字卫生干预潜在影响的快速方法及其在低资源环境中的应用

G. Royston
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引用次数: 1

摘要

评估数字卫生项目和应用程序的影响是一项关键挑战,特别是在资源匮乏的环境中。全面的实地评价研究需要大量的资源和时间。要求较低、能够提供快速见解的方法将会有所帮助。本文提出了一些快速评估的“捷径”方法,这些方法可以提供有用的优势和劣势的早期指示,并可以确保评估工作集中在关键的不确定性上,不会浪费在没有希望的干预措施上,并充分利用已知的东西。本文提出了三种基于逻辑建模的快速评估方法:识别“上游”障碍利用“下游”效应的知识费米估计通过实例说明了它们的应用,主要考虑了在中、低资源环境中对公民和医护人员的移动电话医疗保健信息应用的评估。
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Rapid Methods to Assess the Potential Impact of Digital Health Interventions, and their Application to Low Resource Settings
Assessing the impact of digital health projects and applications is a key challenge, especially in low resource settings. Full evaluative field studies are resource-intensive and time-consuming. Less demanding approaches that could provide rapid insights would be helpful. This paper presents some "short-cut" approaches for rapid assessments that can provide useful early indications of strengths and weaknesses and can ensure that evaluative efforts are focused on key uncertainties, are not wasted on unpromising interventions, and make the most of what is already known. Three rapid assessment approaches, all underpinned with logic modelling, are presented: Identification of "upstream" obstacles Utilisation of knowledge about "downstream" effects Fermi estimation Their application is illustrated by examples, mainly considering assessment of mobile phone healthcare information applications for citizens and healthcare workers in medium and low-resource settings.
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