建立美国实施战略的证据标准:对艾滋病毒服务的德尔菲研究
Virginia R McKay1, Alithia Zamantakis2,3, Ana Michaela Pachicano3
1Center for Public Health Systems Science, Brown School, Washington University in St. Louis, St. Louis, MO, USA. virginia.mckay@wustl.edu.
Implementation science : IS
|July 15, 2024
概括
研究人员开发了最佳实践工具来评估艾滋病毒实施策略. 该工具评估证据质量,帮助从业者选择有影响力的策略,以获得更好的健康结果.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 缺乏评估实施研究质量的具体标准.
- 需要工具来向从业者推有影响力的实施策略.
- 专注于针对艾滋病毒的具体实施战略.
研究的目的:
- 开发和应用一个工具来评估支持HIV特定实施策略的证据.
- 创建一个可靠的方法来评估实施研究的质量.
- 引导从业人员选择有效的艾滋病毒服务提供策略.
主要方法:
- 三个阶段的开发:文献综述,关键告密者采访和e-Delphi轮.
- 参与了艾滋病毒服务提供,质量改善和实施科学方面的专家.
- 试点测试和应用18个实施策略来评估可靠性.
主要成果:
- 确认了五个评估领域:研究设计,实施结果,限制和严格性,战略规范和公平性.
- 建立了四个证据级别:最佳,有希望的,需要更多证据和有害的.
- 在将标准应用于实施策略时,实现了98%的可靠性.
结论:
- 开发了一种新的工具,即最佳实践工具,用于评估艾滋病毒实施策略的证据.
- 该工具可用于评估艾滋病毒以外的其他健康领域的策略.
- 旨在改善医疗保健中的实施策略的选择和影响.
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