为患者和从业人员揭示医疗保健洞察力:试点研究
Zenahrai Eastwood1, Johannes Driessen2
1NHS Hampshire and Isle of Wight.
概括
英国医生面临着多样化的培训,导致未充分利用的临床见解. 这项研究汇集并评估了这些见解,揭示了许多低成本,低风险的做法,有可能改善患者护理.
科学领域:
- 医学教育 医学教育
- 改善临床实践的改善
- 基于证据的医学基于证据的医学.
背景情况:
- 英国医学培训存在显著的异质性,导致知识和实践的多样化.
- 匿名的临床见解和实践,具有潜在的患者护理益处,仍未得到充分利用.
- 当地或事知识往往缺乏国家传播和验证.
研究的目的:
- 收集和分类英国医疗保健中未充分利用的临床见解.
- 评估这些见解的证据基础,成本效益和安全性.
- 促进对有价值实践的认识,并确定进一步研究的领域.
主要方法:
- 一项带有自由文本答案的定性调查分发给英国医疗保健专业人员.
- 收集的见解被系统地与现有证据,成本和潜在危害对比.
- 这项研究的重点是机会性传播以达到广泛的目标.
主要成果:
- 在各种医学专业领域收集了29种不同的临床见解.
- 一些见解尽管是国家指导的一部分,但未得到充分利用;其他见解来自当地/国际来源.
- 证据各不相同,但大多数见解都是低成本和低风险的.
结论:
- 确定了一系列鲜为人知的临床见解和证据较少的实践.
- 许多见解提供了积极患者影响的潜力,特别是在全科医院.
- 这是一个很大的机会,可以促进低成本,低风险的干预措施,并指导研究对证据较少的实践.
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