肯尼亚使用AGREE II工具对临床实践指南的质量评估:一个方法审查
Caleb Kimutai Sagam1, Lisa M Were2, Jenifer A Otieno2
1Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya sagamc7@gmail.com.
BMJ open
|July 10, 2023
概括
肯尼亚临床实践指南 (CPG) 的质量有限,特别是在开发严格性和编辑独立性方面. 为指南制定者加强基于证据的方法培训对于改善患者护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床指南开发 临床指南开发
- 公共卫生政策 公共卫生政策
背景情况:
- 临床实践指南 (CPG) 对于标准化医疗保健至关重要.
- 评估肯尼亚国家CPG的质量对于改善医疗保健至关重要.
研究的目的:
- 评估肯尼亚可用和可访问的国家CPG的质量.
- 确定需要改进的CPG开发的特定领域.
主要方法:
- 搜索了肯尼亚卫生部和专业协会网站,寻找过去五年内出版的CPG.
- 利用研究和评估指南评估II (AGREE II) 工具在六个领域进行质量评估.
- 包括24个CPG,涵盖母亲,新生儿,营养,伤害和传染性/非传染性疾病.
主要成果:
- CPG在陈述清晰度 (82.96%) 中得分最高,在开发严格度 (3%) 中得分最低.
- 在利益相关者参与 (45.25%),适用性 (19.88%) 和编辑独立性 (6.92%) 方面发现了重大缺陷.
- 没有CPG在开发或编辑独立性方面达到50%的最低标准.
结论:
- 肯尼亚CPG的质量受到开发,编辑独立性,适用性和利益相关方参与度不够严格的限制.
- 需要针对指导方针制定者的基于证据的方法的有针对性的培训计划.
- 提高CPG质量对于改善肯尼亚的患者护理至关重要.
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