关于初级预防和查的临床实践指南的协调:初级保健的可行的建议和资源
Carolina Fernandes1, Denise Campbell-Scherer2,3, Aisha Lofters4,5
1Department of Family Medicine, University of Alberta, Edmonton, AB, Canada. carolina.fernandes@ualberta.ca.
BMC primary care
|May 6, 2024
概括
这项研究协调了癌症和慢性疾病预防和查 (CCDPS) 的临床实践指南 (CPG),以更新BETTER计划,为初级保健提供者创建一个综合工具包.
科学领域:
- 基于证据的医学是基于证据的医学.
- 初级护理研究初级护理研究
- 医疗服务研究 医疗服务研究
背景情况:
- 临床实践指南 (CPG) 综合了临床实践的高质量证据.
- 初级保健机构需要为患有多种疾病的患者提供综合性CPG.
- "更好的计划"将CPG合成为癌症和慢性疾病预防和查 (CCDPS) 的可行的建议.
研究的目的:
- 描述协调高质量的CCDPSCPG的过程,以更新BETTER计划.
- 综合和整合对初级保健的可行的建议.
主要方法:
- 对国际和加拿大CCDPS指南 (2016-2021) 的CPG数据库和灰色文献进行了审查,该指南针对40-69岁的成年人.
- 使用研究和评估指南评估 (AGREE) II工具评估指南的质量.
- 采用了涉及患者,专家和提供者的三步过程,以确定和综合推.
主要成果:
- 确定了51个与CCDPS相关的国际/加拿大CPG和22个省级指南.
- 提取并审查了相关性,年龄相关性 (40-69岁) 和初级保健适用性的临床建议.
- 综合并将建议整合到BETTER工具包中,共享决策资源.
结论:
- 描述了整合CCDPS高质量的临床指导的综合方法.
- 协调过程可以帮助整合综合护理的广泛领域的证据.
- "更好的工具包"提供了在初级保健中实施CCDPS指导的资源.
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