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Putting medical devices in context: a systematic review of evidence on design targeting low-resource settings

机译：以医疗器械为背景：针对低资源环境的设计证据的系统回顾

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Most medical devices are inaccessible to healthcare facilities in low-resource settings (LRSs), severely limiting medical care for a vast proportion of the world's population. This article characterises the process used for designing medical devices for LRSs and investigate how the context-of-use is integrated into the process. A systematic review of 64 papers was conducted to identify peer-reviewed studies of devices intended for LRSs. Using the biodesign process as an analytic framework, a qualitative meta-analysis was conducted. Findings show the studies predominantly describe the later stages of medical device design, whilst largely neglecting how knowledge of the context is considered. To support engineers and improve outcomes, it is imperative that an understanding of the context is integrated throughout the design and product development process. This article highlights this gap and hopes to stimulate research into how context can be better incorporated into the design process for medical devices targeting those populations most in need.
机译：在低资源环境（LRS）中，医疗机构无法使用大多数医疗设备，这严重限制了全球大部分人口的医疗保健。本文介绍了用于设计用于LRS的医疗设备的过程，并研究了如何将使用上下文集成到该过程中。对64篇论文进行了系统的综述，以确定针对LRS的设备的同行评审研究。使用生物设计过程作为分析框架，进行了定性荟萃分析。研究结果表明，研究主要描述了医疗器械设计的后期阶段，而很大程度上忽略了如何考虑背景知识。为了支持工程师并改善结果，当务之急是在设计和产品开发过程中融入对上下文的理解。本文着重指出了这一差距，并希望激发人们对如何将环境更好地纳入针对最需要这些人群的医疗设备设计过程的研究。

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