Characteristics of Topic for Emergency Health Systems Guidance Based on AGREE-HS
10.13422/j.cnki.syfjx.20250295
- VernacularTitle:基于AGREE-HS评价的应急卫生系统指南主题特点
- Author:
Xue CHEN
1
;
An LI
1
;
Fangqi LIU
2
;
Danping ZHENG
1
;
Gezhi ZHANG
1
;
Nannan SHI
1
;
Wei YANG
1
;
Dongfeng WEI
1
;
Mengyu LIU
1
Author Information
1. Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China
2. School of Traditional Chinese and Western Medicine,Gansu University of Chinese Medicine,Lanzhou 730000,China
- Publication Type:Journal Article
- Keywords:
emergency health systems guidance;
Appraisal of Guidelines for Research & Evaluation-Health Systems (AGREE-HS);
assessment;
topic
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2024;30(22):171-177
- CountryChina
- Language:Chinese
-
Abstract:
The clear definition of the topic in emergency health systems guidance (HSG) ensures the relevance, scientific rigor, and practicality of the guidance, providing a clear direction and a framework for a rapid and effective public health response. This study used the Appraisal of Guidelines for Research & Evaluation-Health Systems (AGREE-HS) to demonstratively evaluate the global COVID-19 emergency HSGs and World Health Organization (WHO) standard HSGs, aiming to explore the characteristics of topic in emergency HSGs. The results showed that in the 34 HSGs included, the item topic received the highest score. Specifically, criterion 4 relating to relevant and applicable factors scored the highest (5.59), while criterion 3 concerning the prioritization of health system challenges scored the lowest (2.76). There were differences (P<0.05) in criterion 1 between standard HSGs and overall emergency HSGs, as well as between WHO and national emergency HSGs. Criterion 3 also showed differences (P<0.05) between standard HSGs and emergency HSGs, as well as between WHO and national emergency HSGs. Criterion 4 displayed differences (P<0.000 1) between WHO and national emergency HSGs. No differences were observed in intra-group or inter-group comparisons of different emergency HSG subcategories (P<0.05). Overall, emergency HSGs represented by the COVID-19 emergency HSG focus on detailing the challenges faced by the health system, including the natures of challenges, affected populations, and other relevant and applicable factors, while aligning with stakeholder concerns. The prioritization is downplayed, with emphasis placed on rapid responses to and flexible handling of urgent issues. Influenced by factors such as the evidence base, phase timing, and effectiveness, the topic setting shows variations.