加勒比国家和地区对世界卫生组织 COVID-19 指南的调整。

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bulletin of the World Health Organization Pub Date : 2024-10-01 Epub Date: 2024-05-23 DOI:10.2471/BLT.23.290796
Tracy Evans-Gilbert, Edmund Blades, Ronela Boodoosingh, Michael H Campbell, Celia Dc Christie, Marvin Manzanero, Janice Mullings-George, Earl Ottley, Cil-Maria Outerbridge, Natasha P Sobers, Tamu Davidson, Rian M Extavour, Joy St John, Ludovic Reveiz, Begona Sagastuy, Ignacio Neumann
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引用次数: 0

摘要

世界卫生组织(世卫组织)的规范作用包括制定以证据为基础的原则性指导方针,以指导其成员国在充分知情的情况下做出公共卫生决定。虽然这些指南往往需要进行调整,以确保与具体情况相关,促进更好地实施和遵守,但调整现有指南比制定新指南更有效。在此,我们介绍了采用建议、评估、发展和评价分级 (GRADE) -ADOLOPMENT 方法对世界卫生组织《2019 年冠状病毒疾病》(COVID-19)关于加勒比地区药物干预的活指南进行改编的情况。加勒比海公共卫生机构和泛美卫生组织领导了这项工作,组建了一个由来自七个加勒比海国家和地区的 16 位专家组成的多元化小组。改编过程包括 15 个步骤,由经验丰富的方法论专家指导,包括根据地区需求选择相关临床问题并确定优先顺序。专家小组评估了世界卫生组织的最新指导方针,并纳入了更多当地数据。考虑到当地的价值观和偏好、资源、可及性、可行性以及对健康公平的影响,他们调整了几项建议的方向和力度,以更好地适应加勒比海地区的情况。最终,我们改变了两项建议的方向和五项建议的力度,使其更符合地区实际情况。这项工作凸显了根据当地情况调整全球指南、提高其适用性和有效性的重要性。适应过程也是指南制定过程中技能转让和能力建设的宝贵机会。需要继续开展研究,以评估这些调整对加勒比地区保健成果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adaptation of WHO COVID-19 guidelines by Caribbean countries and territories.

The normative role of the World Health Organization (WHO) involves creating evidence-based, principled guidelines to guide its Member States in making well-informed public health decisions. While these guidelines often need to be adapted to ensure contextual relevance, foster better implementation and adherence, adapting existing guidelines is more efficient than creating new ones. Here we describe the adaptation of the WHO coronavirus disease 2019 (COVID-19) living guideline on pharmacological interventions for the Caribbean using the grading of recommendations, assessment, development and evaluation (GRADE)-ADOLOPMENT method. The Caribbean Public Health Agency and the Pan American Health Organization led the effort, assembling a diverse panel of 16 experts from seven Caribbean countries and territories. The adaptation process, involving 15 steps, was guided by an experienced methodologist and included selecting relevant clinical questions and prioritizing them based on regional needs. The panel evaluated the latest WHO guidelines and integrated additional local data. They adjusted the direction and strength of several recommendations to better fit the Caribbean context, considering local values and preferences, resources, accessibility, feasibility and impact on health equity. Ultimately, we changed the direction of two recommendations and the strength of five, tailoring them to regional realities. This effort highlights the importance of adapting global guidelines to local settings, improving their applicability and effectiveness. The adaptation process also serves as a valuable opportunity for skill transfer and capacity-building in guideline development. Continued research is needed to assess the impact of these adaptations on health-care outcomes in the Caribbean.

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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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