التفاصيل البيبلوغرافية
| العنوان: |
Priority classifications of items. |
| المؤلفون: |
Thiago Serrão-Pinto, Eleanor Strand, Gisele Rocha, André Sachett, Joseir Saturnino, Altair Seabra de Farias, Aline Alencar, José Diego Brito-Sousa, Anna Tupetz, Flávia Ramos, Elizabeth Teixeira, Catherine Staton, João Vissoci, Charles J. Gerardo, Fan Hui Wen, Jacqueline Sachett, Wuelton M. Monteiro |
| سنة النشر: |
2024 |
| مصطلحات موضوعية: |
Medicine, Cell Biology, Biotechnology, Cancer, Science Policy, Infectious Diseases, training needs across, therefore proposed decentralizing, future research priorities, resolve pending items, absolute minimum supplies, snakebite strategic plan, percent agreement defined, added value comes, health unit accreditation, expert steering committee, community health centers, engaging local experts, effective antivenom administration, new expert judges, specific treatment available, snakebite envenoming treatment, internal validity ), delphi approach consisted, antivenom decentralization strategy, essential care items, critical care window, minimum requirements checklist, +currently%22">xlink "> currently, minimum requirements |
| الوصف: |
Background Currently, antivenoms are the only specific treatment available for snakebite envenoming. In Brazil, over 30% of patients cannot access antivenom within its critical care window. Researchers have therefore proposed decentralizing to community health centers to decrease time-to-care and improve morbidity and mortality. Currently, there is no evidence-based method to evaluate the capacity of health units for antivenom treatment, nor what the absolute minimum supplies and staff are necessary for safe and effective antivenom administration and clinical management. Methods This study utilized a modified-Delphi approach to develop and validate a checklist to evaluate the minimum requirements for health units to adequately treat snakebite envenoming in the Amazon region of Brazil. The modified-Delphi approach consisted of four rounds: 1) iterative development of preliminary checklist by expert steering committee; 2) controlled feedback on preliminary checklist via expert judge survey; 3) two-phase nominal group technique with new expert judges to resolve pending items; and 4) checklist finalization and closing criteria by expert steering committee. The measure of agreement selected for this study was percent agreement defined a priori as ≥75%. Results A valid, reliable, and feasible checklist was developed. The development process highlighted three key findings: (1) the definition of community health centers and its list of essential items by expert judges is consistent with the Brazilian Ministry of Health, WHO snakebite strategic plan, and a general snakebite capacity guideline in India (internal validity), (2) the list of essential items for antivenom administration and clinical management is feasible and aligns with the literature regarding clinical care (reliability), and (3) engagement of local experts is critical to developing and implementing an antivenom decentralization strategy (feasibility). Conclusion This study joins an international set of evidence advocating for decentralization, adding value ... |
| نوع الوثيقة: |
dataset |
| اللغة: |
unknown |
| Relation: |
https://figshare.com/articles/dataset/Priority_classifications_of_items_/25033327 |
| DOI: |
10.1371/journal.pntd.0011921.t003 |
| الاتاحة: |
https://doi.org/10.1371/journal.pntd.0011921.t003
https://figshare.com/articles/dataset/Priority_classifications_of_items_/25033327 |
| Rights: |
CC BY 4.0 |
| رقم الانضمام: |
edsbas.21FC1206 |
| قاعدة البيانات: |
BASE |