Antimicrobial Stewardship Program Implementation in the Gulf Cooperation Council States: A Systematic Review

Hashad, Nortan; Tonna, Antonella; Perumal, Dhayaneethie; Stewart, Dicey

doi:10.1016/j.jiph.2020.01.052

Cited by 3 publications

(4 citation statements)

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“…Quality evaluation of the included studies was based on study design, using the National Institutes of Health–National Health, Lung and Blood Institute’s “Study Quality Assessment Tools” [ 18 ], a comprehensive suite of study evaluation tools, which has been used in a variety of systematic reviews [ 19 - 21 ]. Data extraction was performed using a predefined data extraction form for study characteristics and general information (author/year, setting/country, policy influence, study design and quality, and patient population involved), primary care intervention elements, and quadruple aim outcomes, including reported magnitudes for each outcome measure.…”

Section: Methodsmentioning

confidence: 99%

The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review

Jiménez¹,

Matchar²,

Koh³

et al. 2021

J Med Internet Res

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Background Several countries around the world have implemented multicomponent interventions to enhance primary care, as a way of strengthening their health systems to cope with an aging chronically ill population and rising costs. Some of these efforts have included technology-based enhancements as one of the features to support the overall intervention, but their details and impacts have not been explored. Objective This study aimed to identify the role of digital/health technologies within wider multifeature interventions that are aimed at enhancing primary care, and to describe their aims and stakeholders, types of technologies used, and potential impacts. Methods A systematic review was performed following Cochrane guidelines. An electronic search, conducted on May 30, 2019, was supplemented with manual and grey literature searches in December 2019, to identify multicomponent interventions that included at least one technology-based enhancement. After title/abstract and full text screening, selected articles were assessed for quality based on their study design. A descriptive narrative synthesis was used for analysis and presentation of the results. Results Of 37 articles, 14 (38%) described the inclusion of a technology-based innovation as part of their multicomponent interventions to enhance primary care. The most commonly identified technologies were the use of electronic health records, data monitoring technologies, and online portals with messaging platforms. The most common aim of these technologies was to improve continuity of care and comprehensiveness, which resulted in increased patient satisfaction, increased primary care visits compared to specialist visits, and the provision of more health prevention education and improved prescribing practices. Technologies seem also to increase costs and utilization for some parameters, such as increased consultation costs and increased number of drugs prescribed. Conclusions Technologies and digital health have not played a major role within comprehensive innovation efforts aimed at enhancing primary care, reflecting that these technologies have not yet reached maturity or wider acceptance as a means for improving primary care. Stronger policy and financial support, and advocacy of key stakeholders are needed to encourage the introduction of efficient technological innovations, which are backed by evidence-based research, so that digital technologies can fulfill the promise of supporting strong sustainable primary care.

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Section: Methodsmentioning

confidence: 99%

The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review

Jiménez¹,

Matchar²,

Koh³

et al. 2021

J Med Internet Res

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show abstract

“…We defined health technologies, using definitions from two World Health Organization reports, as the "application of scientific knowledge for practical purposes, including its corresponding machinery and equipment, to solve health care-related problems and improve quality of life" [17] and encompassing digital health technologies (the overarching term to include eHealth and mHealth, eg, telemedicine, electronic health records [EHRs], and wearable sensors) and their corresponding medical and assistive devices [9]. Quality evaluation of the included studies was based on study design, using the National Institutes of Health-National Health, Lung and Blood Institute's "Study Quality Assessment Tools" [18], a comprehensive suite of study evaluation tools, which has been used in a variety of systematic reviews [19][20][21]. Data extraction was performed using a predefined data extraction form for study characteristics and general information (author/year, setting/country, policy influence, study design and quality, and patient population involved), primary care intervention elements, and quadruple aim outcomes, including reported magnitudes for each outcome measure.…”

Section: Methodsmentioning

confidence: 99%

The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review (Preprint)

Jiménez¹,

Matchar²,

Koh³

et al. 2020

Preprint

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BACKGROUND Several countries around the world have implemented multicomponent interventions to enhance primary care (PC), as a way of strengthening their health systems to cope with an ageing, chronically ill population, and rising costs. Some of these efforts have included technology-based enhancements as one of their features to support the overall intervention, but their details and impact have not been explored. OBJECTIVE To identify the role of digital/health technologies within wider, multi-feature interventions aimed at enhancing PC, and to describe the type of technologies used, aim and stakeholder, and potential impacts. METHODS A systematic review was performed, following Cochrane guidelines. An electronic search, supplemented with manual and grey literature searches, was conducted to identify multicomponent interventions which included at least one technology-based enhancement. After title/abstract and full text screening, selected articles were assessed for quality based on their study design. A descriptive, narrative synthesis was used for analysis and presentation of results. RESULTS Fourteen out of 37 articles (38%) described the inclusion of a technology-based innovation, as part of their multicomponent interventions to enhance PC. The most common identified technologies were the use of electronic health records, data monitoring technologies and online portals with messaging platforms. The most common aim of these technologies was to improve continuity of care and comprehensiveness, which resulted in increased patient satisfaction, increased PC visits compared to specialist visits, and the provision of more health prevention education and improved prescribing practices. Technologies seem also to increase costs and utilization for some parameters, such as increased consultation costs and increased number of drugs prescribed. CONCLUSIONS Technologies and digital health have not played a major role within comprehensive innovation efforts aimed at enhancing PC, reflecting that these technologies have not yet reached maturity or wider acceptance as a means for improving PC. Stronger policy and financial support is needed, as well as the advocacy of key stakeholders, to encourage the introduction of efficient technological innovations, backed by evidence-based research, so that digital technologies can fulfill the promise of supporting a strong, sustainable primary care.

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“…The Preferred Reporting Items for Systematic Reviews and Meta-analysis for Protocols (PRISMA-P) standards guided the development of the systematic review protocol, which was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42017079597) and available online [27,28].…”

Section: Protocol Developmentmentioning

confidence: 99%

“…There are several strengths to this review. The protocol was developed according to the standards of PRISMA-P (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) [27], registered in the PROSPERO database [28], and the systematic review reported according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) criteria [50]. One key strength is the approach to synthesis of information on ASP implementation using the CDC framework which will facilitate international comparison.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Mapping hospital antimicrobial stewardship programmes in the Gulf Cooperation Council states against international standards: a systematic review

Hashad

Perumal²,

Stewart

et al. 2020

Journal of Hospital Infection

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Antimicrobial Stewardship Program Implementation in the Gulf Cooperation Council States: A Systematic Review

Cited by 3 publications

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The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review

The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review

The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review (Preprint)

Mapping hospital antimicrobial stewardship programmes in the Gulf Cooperation Council states against international standards: a systematic review

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