委员会在医疗保健指南中使用正式共识的经验:一项纵向定性研究
V Roberts1, Patrice Carter2,3, P Barnett4
1Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
正式共识方法 (FCM) 是医疗保健指导方针的可接受替代方案,平衡群体动态,包括多样化的证据. 需要进一步的研究来确定FCM的最佳用例.
科学领域:
- 医疗保健指导方针发展发展
- 医疗服务研究 医疗服务研究
- 定性研究方法 定性研究方法
背景情况:
- 通过正式的共识方法 (FCM) 评估参与者的期望和经验.
- 在使用FCM参与指南委员会后,探索观点的变化.
研究的目的:
- 捕捉和比较参与者对使用正式共识方法 (FCM) 的期望和经验.
- 在指导方针委员会中探索FCM实施后参与者观点的转变.
主要方法:
- 与12名医疗保健委员会成员和技术人员进行了半结构化的定性访谈.
- 在指南会议上使用FCM之前和之后进行的采访.
- 探索过去的经验和对非正式共识方法的期望.
主要成果:
- 参与者发现FCM对于结合多样化的证据和管理群体动态是有用的.
- 关于增加参与和平衡的权力动态,注意到了积极的反应.
- FCM需要额外的资源;建议用于低质量的证据,有限的专业知识或有争议的话题.
结论:
- 正式共识方法 (FCM) 是可接受的,有益于医疗保健指南.
- FCM有助于参与,证据包容性和群体动态管理.
- 需要进一步的研究来确定FCM的最佳应用.
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