临床实践指南中的新视野,用于老年人治疗
Finbarr C Martin1, Terence J Quinn2, Sharon E Straus3
1Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Age and ageing
|July 24, 2024
概括
临床实践指南 (CPG) 必须适应,以支持面临脆弱和多病症的老年人. 解决证据差距和促进以患者为中心的实施对于公平的医疗保健至关重要.
科学领域:
- 老年学和医疗保健系统
- 基于证据的医学和临床实践.
背景情况:
- 全球人口正在老龄化,脆弱性,残疾和多种疾病的患病率正在增加.
- 医疗保健系统需要适应,以确保所有年龄组的公平.
- 临床实践指南 (CPG) 对于将基于证据的医学转化为临床护理至关重要.
研究的目的:
- 检查CPG在解决老年人需求方面所面临的挑战,特别是那些患有多病症并面临医疗保健获取障碍的人.
- 探索患者群体和社会经济因素的异质性如何影响CPG建议和实施.
- 提出应对这些挑战的策略,并提高CPG的适用性和以患者为中心.
主要方法:
- 对有关老年人的CPG的范围,证据基础和内容的分析.
- 检查与患者异质性和个人优先事项相关的实施挑战.
- 在CPG开发过程中基于框架考虑缓解策略.
主要成果:
- 当异质性不反映时,CPG可以在以患者为中心的护理和共享决策方面扎.
- 证据差距不成比例地影响多病症老年人和来自边缘化群体的老年人.
- 由于各种因素,CPG之间可能会产生不一致的建议,因此需要更新方法.
结论:
- 调整CPG对于实现老龄化人口的公平医疗保健至关重要.
- 解决证据的局限性和加强以患者为中心的实施是改善老年人护理的关键.
- 需要策略来确保CPG保持相关性,一致性和适用于各种患者需求.
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