研究界和研究消费者的议程之间的关系
1MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, UK.
Lancet (London, England)
|July 8, 2000
概括
关于膝关节关节炎干预措施的研究表明,已发表的研究和患者优先事项之间存在差距. 需要更多关于患者喜欢的治疗方法 (如教育和咨询) 的研究,以使基于证据的医学能够满足消费者的需求.
科学领域:
- 整形外科 整形外科 整形外科
- 基于证据的医学基于证据的医学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 研究议程可能有偏见,可能与患者需求不一致.
- 研究了现有研究证据和消费者对膝关节骨关节炎干预措施的偏好之间的差异.
研究的目的:
- 确定膝关节骨关节炎干预措施的研究证据与消费者研究优先事项之间是否存在不匹配.
- 评估研究环境与以患者为中心的护理的协调程度.
主要方法:
- 进行了关于膝关节骨关节炎干预措施的已发表和未发表研究的全面搜索.
- 利用焦点小组和邮政调查与研究消费者收集有关他们的观点和研究优先事项的数据.
主要成果:
- 膝关节关节炎干预措施的证据基础主要由药物 (59%) 和手术 (26%) 的研究主导.
- 消费者优先事项显示,与膝关节置换 (36%) 相比,对教育和咨询 (21%) 的研究有很大的兴趣.
结论:
- 关于干预的发表研究量和消费者的兴趣之间存在着显著的不匹配.
- 建议扩大研究议程,包括患者喜欢的主题,如教育和咨询.
- 解决这种不匹配对于确保基于证据的医学准确地反映消费者需求和当前治疗模式至关重要.
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