评估在中东和北非地区实施临床实践指南的障碍和促进者:德尔菲研究
Saja H Almazrou1, Hajar Almoajil2, Sara Alghamdi1
1College of Pharmacy, King Saud University, Riyadh 14511, Saudi Arabia.
Journal of clinical medicine
|August 12, 2023
概括
在中东和北非 (MENA) 实施临床实践指南 (CPG) 的障碍包括沟通不良和研究有限. 培训课程是成功采用CPG的关键促进者.
科学领域:
- 医疗保健政策与研究
- 临床实施科学 临床实施科学
背景情况:
- 临床实践指南 (CPG) 对于改善患者护理和决策至关重要.
- 尽管有好处,但CPG的实施在全球面临着重大挑战.
- 了解特定区域的障碍和促进因素对于有效采用CPG至关重要.
研究的目的:
- 在中东和北非 (MENA) 地区识别和排名CPG实施的关键障碍和促进者.
- 为制定有针对性的战略提供信息,以加强中东和北非地区的CPG采用.
主要方法:
- 一项为期三轮的Delphi研究,涉及30名临床实践指南专家.
- 专家们使用利克特等级和优先级来评分和排名障碍和促进者.
- 描述性分析 (频率,百分比,中位数) 总结了这些发现.
主要成果:
- 在中东和北非地区,针对CPG实施的十个独特障碍和十三个独特促进因素被确定.
- 最主要的障碍包括沟通问题和缺乏研究/技能.
- 为医疗保健专业人员提供培训课程的可用性成为最重要的促进因素.
结论:
- 中东和北非地区的CPG实施成功受到专业,组织和外部因素的影响.
- 解决已识别的障碍和利用促进者对于未来的实施战略至关重要.
- 这项研究为在MENA地区设计有效的CPG实施计划提供了基础.
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