在临床实践中引入重权范围投票:重权优先设定工具 (REPS) 的开发和测试
Michiel S Oerbekke1,2, Charlotte M W Gaasterland2,3, Maarten J van der Laan4
1Cochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
PloS one
|April 5, 2024
概括
使用重权范围投票的新工具有助于对临床实践指南的关键问题进行优先考虑. 准则小组成员对结果感到非常满意,他们更喜欢特定的权重方法来确定优先级.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
- 方法论 方法论 方法论
背景情况:
- 优先考虑临床实践指南中的关键问题对于有效的医疗保健至关重要.
- 现有的方法可能无法充分捕捉利益相关者的不同偏好.
- 需要一个强大的工具来支持系统的优先设定评估.
研究的目的:
- 开发和测试一种用于优先考虑临床实践项目的新工具.
- 在现实环境中评估工具的可用性和结果满意度.
- 为重新加权范围投票机制提供方法上背景.
主要方法:
- 基于重新加权范围投票的优先设定工具的代开发.
- 用于可用性测试的定性方法 (大声思考,采访).
- 在罕见疾病指南小组中对工具结果满意度的观察性研究.
主要成果:
- 对方法学家来说,最初的可用性挑战是通过改进和指导来克服的.
- 准则小组成员对确定优先级的结果表示高度满意.
- 首选条件涉及使用平均子组分数或在权重中使用积极的处罚.
结论:
- 开发的工具有效地生成排序列表,用于确定优先级的评估.
- 该工具在输入方面提供了灵活性,并有助于缩小优先项目范围.
- 虽然不是共识方法,但它有助于随后的共识建设步骤.
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