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在瑞典推假肢和整形器械的临床指南:国家和区域指南之间的协议

Ulla Hellstrand Tang^1,2, Gustav Jarl^3,4, Marie Eriksson⁵

¹Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Prosthetics and orthotics international

|June 27, 2023

概括

瑞典国家和地区对假肢和整形器械 (P&O) 的指导方针显示了可变的协议. 这种P&O建议的不一致性可能会导致整个医疗保健系统的患者护理不平等.

科学领域:

医疗保健质量评估医疗保健质量评估
临床实践指南分析分析
假肢和整形 (P&O) 研究研究

背景情况:

瑞典有国家和区域临床实践指南 (CPG),但其质量和相互一致性尚未得到审查.
之前的研究还没有评估CPG的质量或瑞典国家和地区层面之间的建议一致性.

研究的目的:

评估瑞典国家CPG对假肢和整形 (P&O) 的质量.
量化瑞典国家和区域CPG之间关于P&O建议的协议.

主要方法:

进行了文献审查,以确定相关的国家和地区的CPG.
通过研究和评估指南评估II (AGREE II) 工具评估了国家CPG质量.
国家和地区P&O建议之间的一致性被评为四分级.

主要成果:

在三个国家CPG (糖尿病,肌肉骨疾病,中风) 中发现了9个与P&O相关的建议.
两个国家CPG (肌肉骨疾病,中风) 在所有AGREE II领域得分超过60%,糖尿病CPG在六个领域中的五个领域得分超过60%.
国家和地区P&O建议之间的一致性各不相同,有些建议在不同地区之间具有相似性,而另一些则存在显著差异.

结论:

对于P&O治疗,只有有限数量的国家建议.
国家和区域P&O指导方针之间一致性的变化表明,可能存在不公平的医疗保健服务.
需要进一步调查,以确保在全国范围内提供一致的P&O护理.

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