在初级保健中需要进行研究.
Jan M De Maeseneer1, Mieke L van Driel, Larry A Green
1Department of General Practice and Primary Health Care, Ghent University, Ghent, Belgium. jan.demaeseneer@ugent.be
Lancet (London, England)
|October 25, 2003
概括
弥合医疗保健中的证据与实践差距需要的不仅仅是研究结果. 提高护理质量需要整合医疗,上下文和政策证据,特别是在初级保健机构.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 基于证据的实践.
背景情况:
- 从历史上看,将科学证据转化为临床实践的目的是提高医疗保健质量,但这一目标在很大程度上仍未实现.
- 医疗保健质量的概念是多方面的,要求综合医疗,上下文和政策相关的证据,以有效改善.
研究的目的:
- 探索将科学证据转化为临床实践的复杂性,并确定改善医疗保健质量的关键领域.
- 突出需要进行研究,考虑初级保健群体的独特方面,疾病表现,以及关键的医生与患者的互动.
主要方法:
- 本研究综合了有关证据翻译和医疗保健质量改善的现有文献和理论框架.
- 它强调需要采用综合方法,整合各种证据类型和研究方法.
主要成果:
- 科学证据直接转化为临床实践并没有像预期的那样持续改善医疗保健质量.
- 质量改进计划需要更广泛的证据基础,包括医疗,上下文 (例如医生与患者之间的动态) 和政策因素.
- 初级保健研究必须针对特定人口的特征和疾病患病率.
结论:
- 提高护理质量需要采用整体方法,整合医疗,情境和政策证据.
- 扩大家庭实践的知识基础需要结合多种理解方法,以有效地弥合证据与实践的差距.
- 在政策层面解决公平问题对于公平的医疗保健质量改善至关重要.
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