Effectiveness of the Promotion and Application of Appropriate Health Technology in China: A Systematic Review
Author(s): HE Li-fang, SHEN Jian-tong, SHEN Xu-hui, LIU Rui, Nurse College, Medical School of Huzhou University
Pages: 1265-1272
Year: 2015 Issue: 11
Journal: Chinese Journal of Evidence-Based Medicine
Keyword: Appropriate health technology; Effectiveness evaluation; Systematic review;
Abstract: Objective To systematically review the effects of the promotion of appropriate health technology in China and provide reference for improving the promotion of appropriate health technologies. Methods Databases including CBM, VIP, CNKI and WanFang Data were searched for studies about the appropriate health technology in China from inception to August 2014. Two reviewers independently screened literature, extracted data, and assessed the methodological quality of included studies by the evaluation criteria for descriptive studies of MAStARI, an assessment tool developed by JBI Evidence-Based Health Care Center. And then, qualitative descriptive analysis method was used to comprehensively analyze the data from four aspects: medical institutions, regulators, technology promotion medical staffand patients. Results A total of 23 cross-sectional studies and one before-after study were included. The results of qualitative analysis showed that: 1) the technology utilization rate of appropriate health technology extension institutions was more than 70%, the number of outpatients of township and village organizations increased significantly than that of the county level institutions; 2) director of technology extension and managers of hospital were in favor of the promotion of appropriate technology for its good effectiveness, safety, lower medical costs, and skill improvement of medical staff; 3)medical staffmastered the appropriate health technology, they were willing to promote appropriate technology and spoke highly of it for its safety, feasibility and economic effect, and improved their level of technology; 4) in patients’ opinion,the appropriate technology reduced the disease course and cost, they spoke highly of it for its acceptance, efficacy and safety. Conclusion Current evidence shows that the promotion of appropriate health technology has achieved good effects. The satisfaction of medical institutions, managers, health service staffand patient is high, but these research results are of poor quality, mostly subjective evaluation, lack of scientific, rational, objective and consistent evaluation criteria,which cannot be used as evaluation evidence for the promotion of appropriate health technology.
Pages: 1265-1272
Year: 2015 Issue: 11
Journal: Chinese Journal of Evidence-Based Medicine
Keyword: Appropriate health technology; Effectiveness evaluation; Systematic review;
Abstract: Objective To systematically review the effects of the promotion of appropriate health technology in China and provide reference for improving the promotion of appropriate health technologies. Methods Databases including CBM, VIP, CNKI and WanFang Data were searched for studies about the appropriate health technology in China from inception to August 2014. Two reviewers independently screened literature, extracted data, and assessed the methodological quality of included studies by the evaluation criteria for descriptive studies of MAStARI, an assessment tool developed by JBI Evidence-Based Health Care Center. And then, qualitative descriptive analysis method was used to comprehensively analyze the data from four aspects: medical institutions, regulators, technology promotion medical staffand patients. Results A total of 23 cross-sectional studies and one before-after study were included. The results of qualitative analysis showed that: 1) the technology utilization rate of appropriate health technology extension institutions was more than 70%, the number of outpatients of township and village organizations increased significantly than that of the county level institutions; 2) director of technology extension and managers of hospital were in favor of the promotion of appropriate technology for its good effectiveness, safety, lower medical costs, and skill improvement of medical staff; 3)medical staffmastered the appropriate health technology, they were willing to promote appropriate technology and spoke highly of it for its safety, feasibility and economic effect, and improved their level of technology; 4) in patients’ opinion,the appropriate technology reduced the disease course and cost, they spoke highly of it for its acceptance, efficacy and safety. Conclusion Current evidence shows that the promotion of appropriate health technology has achieved good effects. The satisfaction of medical institutions, managers, health service staffand patient is high, but these research results are of poor quality, mostly subjective evaluation, lack of scientific, rational, objective and consistent evaluation criteria,which cannot be used as evaluation evidence for the promotion of appropriate health technology.
Related Articles