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研究コミュニティの課題と研究消費者の課題の関係
1MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, UK.
Lancet (London, England)
|July 8, 2000
まとめ
膝関節炎の介入に関する研究は,公表された研究と患者の優先順位の間のギャップを示しています. 消費者のニーズを満たすために,エビデンスベースの医療のために,教育や助言などの患者によって好まれる治療法に関するより多くの研究が必要です.
科学分野:
- 整形外科 整形外科 整形外科
- 根拠に基づいた医学は,証拠に基づいた医療です.
- 医療サービス 研究 医療サービス
背景:
- 研究アジェンダは偏りがあり,患者のニーズと合致していない可能性があります.
- 既存の研究エビデンスと,膝関節炎の介入に対する消費者の好みとの差異を調査した.
研究 の 目的:
- 膝関節炎の介入に関する利用可能な研究エビデンスと消費者の研究優先事項との間に不一致があるかどうかを判断する.
- 研究環境と患者中心のケアとの連携を評価する.
主な方法:
- 膝関節炎の介入に関する出版および未出版の研究の包括的な検索を実施しました.
- フォーカスグループと研究消費者の郵便調査を利用して,彼らの見解と研究優先事項に関するデータを収集しました.
主要な成果:
- 膝関節炎の介入に関するエビデンスベースは,医薬品 (59%) と外科 (26%) の研究によって大きく支配されています.
- 消費者の優先順位は,膝関節置換 (36%) と比較して,教育と助言に関する研究への重要な関心 (21%) を明らかにしました.
結論:
- 介入に関する公表された研究の量と消費者の関心との間に顕著な不一致がある.
- 教育やカウンセリングなど,患者さんが好むトピックを含むように,研究アジェンダを拡大することが推奨されています.
- この不一致に対処することは,エビデンスベースの医療が消費者のニーズと現在の治療パターンを正確に反映していることを保証するために非常に重要です.
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