Paediatric and perinatal epidemiology
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Paediatr Perinat Epidemiol · Jan 2008
Strategies for improving the quality of health care in maternal and child health in low- and middle-income countries: an overview of systematic reviews.
There are many systematic reviews of continuing education programmes and educational strategies for quality improvement in health care. Most of the reviewed studies are one-off evaluations rather than impact evaluations with long-term follow-up. There are few systematic reviews of organisational, financial and regulatory interventions, and few high-quality studies. ⋯ Interventions should be selected or tailored to address the underlying reasons for a failure to deliver effective services. Decision-makers should select the most appropriate interventions for specific problems. This requires a governance structure that clearly assigns responsibility for quality-improvement activities, priority setting, selection and design of interventions, and evaluation.
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Paediatr Perinat Epidemiol · Jan 2008
Updating reviews: the experience of the Cochrane Neonatal Review Group.
Maintaining updated systematic reviews is one of the key goals of the Cochrane Collaboration. Reviews are meant to be updated at an interval of no more than 2 years. ⋯ However, this means that the CNRG now has a more urgent need to address the issue of review updates. In order to do so, the CNRG has sought methods to prioritize and facilitate the review process.