Objective To summarize and analyze the characteristics, advantages and disadvantages of the current governance framework for public health emergencies in China. Methods The CNKI, VIP, WanFang Data, CBM and PubMed databases were electronically searched to collect studies on the management of major infectious disease outbreaks in China from inception to April 15, 2023. The basic information and governance elements included in the study were extracted and analyzed. Results A total of 30 studies were included, and the time of issuance was from 2020 to 2022. Most of the studies were on COVID-19, focusing on the governance framework of big data governance, holistic governance, and multi-agent collaborative governance. The governance elements were mainly concentrated in three aspects: governance subject, governance cycle and institutional guarantee. The governance entities were concentrated on multi-agent collaborative governance, with the governance cycle mainly focused on in process governance, and the basic guarantee is a multiple guarantee with information technology big data as the main body. Conclusion The governance body of China's major infectious disease epidemic management framework has transitioned from a single entity to a multi entity collaborative governance. While increasing prewarning governance, attention should also be paid to governance during the post recovery period. In terms of system, comprehensive guarantees such as epidemic public opinion control system guarantees, privacy security guarantees, and psychological counseling guarantees should be added.
ObjectiveTo conduct a scoping review of studies on the application of knowledge mapping in the field of rare diseases at home and abroad, in order to clarify the content and status of application and provide references for future research in this field. MethodsRelevant studies in PubMed, Web of Science, Embase, MEDLINE, CNKI, WanFang Data, VIP, and CBM databases were searched, using the Joanna Briggs Institute Scoping Review Guidelines in Australia as the methodological framework, and the search time frame was from the establishment of the database to June 1, 2023. ResultsTwenty-five papers were included, and the main applications of knowledge graphs in the field of rare diseases were knowledge management, assisted diagnosis, drug repositioning and decision support, involving techniques such as knowledge representation, knowledge extraction, knowledge reasoning, knowledge fusion and knowledge storage.ConclusionKnowledge graphs have shown positive results in fusing and exploiting multi-source information, aiding disease prediction and diagnosis and drug development, but further technical improvements are needed.
ObjectiveTo provide a scoping review of the healthcare provider patient-sharing network. MethodsPubMed, EMbase, Scopus, ProQuest, Web of Science Core Collection, ScienceDirect, SAGE, Wiley Online Library, Google Scholar, CNKI and WanFang Data databases were electronically searched to collect studies on patient-sharing network of healthcare providers from inception to July 31, 2021. Two reviewers independently screened literature, extracted data and then Arksey and O 'Malley's scoping review method was used to analyze the study. ResultsA total of 110 studies were included. In which, 70.0% were published in 2016 and later, 78.2% were carried out in the United States, 96.4% used secondary data, and 45.5% adopted social network analysis methods such as exponential random graph model. In terms of network characteristics, 43.6% of the studies adopted the theoretical framework of social network theory, and the network node type was mainly 1-mode, accounting for 87.3%. When constructing the physician patient-sharing networks, 64.5% of the studies had a threshold of 1 patient. We also synthesized existing studies on patient-sharing networks of healthcare providers in the light of factors of networks and related outcomes. ConclusionThe studies of healthcare provider patient-sharing network have potentials to improve clinical practice and health policies. Further studies should consider adopting longitudinal design to validate evidence of study, expanding the scope of study subjects except physicians and enriching the evidence of the relationship between network and health-related outcomes.
ObjectiveConduct a scoping review of medical student competency assessment research to provide a reference for constructing a scientific, practical, and feasible assessment system. MethodsThe search was conducted in CNKI, SinoMed, WanFang Data, PubMed, Web of Science and Embase databases. The time limit was set from the inception to June 2025. A scope review was conducted based on Arksey and O’Malley’s framework of scope definition review methods. ResultsA total of 31 studies were included, involving 13 theoretical, 6 empirical, and 12 mixed-methods. These studies reported on mainstream competency assessment methods in medical education, such as the objective structured clinical examination, 360-degree evaluation, mini-clinical assessment (MCA), multiple-choice questions (MCQs), and direct observation of procedural skills. Studies on competency model construction primarily used the Miller pyramid, Bloom’s taxonomy of educational objectives, and the current physician competency consensus as core theoretical frameworks. Mixed research methods, such as literature analysis, behavioral event interviews, the Delphi method, and questionnaire surveys, were frequently employed. Domestic competency models primarily focused on "knowledge, skills, and professionalism" as core indicator elements, with the five-point Likert scale being the predominant format for questionnaire items (8 items, 57.1%). Although research reliability validation was relatively well-established, More than half of the studies (7 items, 53.8%) did not report validity metrics. Conclusion While theoretical foundations in competency research are well-established and modeling methodologies are diverse, current assessment methods face limitations, and a lack of uniformity persists in the core elements of competency models. Competency models developed domestically and internationally exhibit significant differences in dimension categorization and item quantity.
Scoping reviews are intended to help researchers in complex and extensive fields can better address exploratory research questions, comprehensive and systematic understanding of the current development of a field. However, the current scoping review needs to be unified in the implementation process, and the emergence of the JBI scoping review execution process can solve this problem well, which combines and improves the framework of the previous execution process, and regulates the whole process of scoping review production in depth and comprehensively from the aspects of the research purpose and questions, inclusion criteria, search, screening, data extraction, and analysis of the results, etc., and it has a strong authority and professionalism. Therefore, in order to help researchers better carry out and implement the scoping reviews, this paper focuses on the JBI scoping review execution process, and through detailed interpretation of the JBI scoping review execution process and demonstration of examples, it provides references for researchers to correctly apply the JBI scoping review execution process, in order to enhance the transparency and reliability of the research results, and to promote the scientific application of scoping reviews in China.
Compared with classic systematic reviews, the scoping reviews, mapping reviews and evidence gap maps (EGMs) address broader research questions. Therefore, they are classified into the "big picture review" family. These three types of evidence synthesis have developed rapidly in recent years, but the related concepts are easy to be confused. This article introduces the methodological development process of the three types of evidence synthesis, summarizes the similarities and differences in terms of research purposes and methodology based on the methodological guidelines of the three types of evidence synthesis in the "big picture review" family. The author hopes that this article can help domestic researchers distinguish and identify the three types of evidence synthesis, avoid conceptual confusion, and correctly choose the type of evidence synthesis in the "big picture review" family according to the research purpose.
Objective To conduct a scoping review on the influencing factors of comorbid sleep disorders in adolescents with epilepsy, so as to provide a reference basis for clinical prevention and early intervention. MethodsFollowing the methodological framework of scoping review, relevant studies were systematically searched in PubMed, Web of Science, Cochrane Library, Embase, Chinese Biomedical Literature Database, CNKI, Wanfang, and VIP Database. The retrieval time limit was from the establishment of each database to April 30, 2025. The included literatures were summarized and analyzed. ResultsA total of 17 literatures were included, and 17 influencing factors related to comorbid sleep disorders in adolescents with epilepsy were identified, which were mainly divided into six categories: demographic factors, characteristics and severity of epilepsy, treatment-related factors, psychiatric comorbidities, organic neurological damage and neurocognitive development and psychosocial and environmental factors. ConclusionSleep disorders are relatively common in adolescents with epilepsy, and their influencing factors are multifaceted.There is a lack of large-sample research on this population in our country, especially the lack of discussion of the causal relationship between influencing factors and sleep disorders, resulting in a lack of basis for early intervention. Future research urgently needs to systematically identify key influencing factors and explore their internal mechanisms through large-sample surveys, so as to lay a solid scientific foundation for the construction of evidence-based intervention programs.
ObjectiveTo identify factors and strategies for the sustainability of evidence-based health promotion programs. MethodsThe articles related to program sustainability factors and strategies were retrieved from the CNKI, WanFang Data, VIP, PubMed, and Web of Science database. The search period for English literature was from June 19, 2018, to December 3, 2024, while no start date was set for Chinese literature, the end date was the same. Three researchers independently screened studies based on predefined inclusion and exclusion criteria and subsequently extracted the basic characteristics from the included studies. Thematic analysis was conducted to identify the sustainability factors and strategies from the included studies. ResultsA total of 65 articles were included in the scoping review. Through thematic analysis, 23 factors were identified and classified into six categories: program characteristics, organization characteristics, human resources, material resources, community resources and policy resources, along with 44 strategies grouped into six categories: programming strategies, collaborative strategies, capacity-building strategies, resource mobilization strategies, communication and dissemination strategies, and evaluative strategies. ConclusionThe sustainability factors and strategies identified in this study exhibit conceptual and structural alignment with existing frameworks and strategy sets in implementation science. Concurrently, by incorporating a full life-cycle perspective, this study delineates context-specific factors and strategies tailored to the unique requirements of sustaining programs over time, thereby contributing to a more nuanced understanding of program sustainability and offering practical guidance for strengthening the longevity of evidence-based health promotion programs.
Informed-evidence decision-making (IEDM) has emerged as the predominant principle of providing guidance for policy-making and practice, however, the best available evidences requisite of performing successfully IEDM. Different forms of evidence and different kinds of review questions call for the development of new approaches that are designed to more effectively and rigorously identify and synthesize the evidence. Fourteen methods of reviewing literature have been recently used to identify and synthesize evidence, of which scoping reviews is increasing popular. This article introduces aspects such as background, purpose and methodological frame work and explains the process of it with an example so that facilitating the dissemination and utilization of scoping review in China.
Objective To summarize the current studies of the core outcome set of traditional Chinese medicine (COS-TCM) and analyze their possible problems. Methods The CNKI, WanFang Data, VIP, PubMed, Web of Science, Embase, and Cochrane Library databases were electronically searched to collect studies from inception to April 18, 2023. The relevant characteristics of the included studies were extracted, and the development steps, stakeholders, and outcomes of COS-TCM were analyzed. Results A total of 28 COS-TCM studies were included. Two studies, only published systematic reviews without providing more information, were excluded from the analysis. Among the 26 studies for analysis, 25 studies (96.15%) used a mixture of methods to develop COS-TCM. Clinicians (n=25) were the most common participants, followed by methodologists and patients. Fifteen studies (57.69%) reported measures to help patients better participate. Twelve consensus definitions were found in the included studies, of which 14 studies' consensus definitions were divided into three levels:"consensus in", "consensus out", and "no consensus". Among the 14 studies that reported the final COS-TCM results, only 4 studies recommended Chinese medicine characteristic outcomes. For the measurement of outcomes, 14 studies (53.85%) made plans for the selection of tools. Conclusion The current COS-TCM research has made some progress, and the common developing methods are roughly the same as those nationally used. However, there are still some problems, such as inadequate and low-transparency reports, lack of TCM characteristic outcomes, and so on. We suggest that future COS-TCM studies should refer to COS-STAP, COS-STAR, COS-STAD, and other international standards as well as emphasize the advantages of TCM during development and reporting so that it can improve the transparency of developing methods, research quality, and the proportion of TCM characteristics of the final COS.
