德国遵守临床实践指南的障碍和促进因素- 一个系统性审查
Eni Shehu1,2,3, Charlotte M Kugler1,2, Niklas Schäfer4,5
1Brandenburg Medical School (Theodor Fontane), Institute for Health Services and Health Systems Research, Faculty of Health Sciences Brandenburg, Rüdersdorf, Germany.
Journal of evaluation in clinical practice
|October 17, 2024
概括
德国遵守临床实践指南 (CPG) 的障碍往往与环境背景和资源有关. 解决这些多层次因素是改善医疗保健专业人员和患者与CPG互动的关键.
科学领域:
- 医疗保健管理和政策
- 基于证据的医学实施.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床实践指南 (CPG) 是基于证据的临床决策工具.
- 坚持CPG与改善的临床结果有关.
- 实施和遵守CPG在临床实践中面临重大挑战.
研究的目的:
- 系统地审查影响德国遵守临床实践指南 (CPG) 的障碍和促进因素.
- 确定影响CPG成功融入德国医疗保健机构的因素.
主要方法:
- 对定性,定量和混合方法研究的系统审查.
- 2022年11月在PubMed和Embase进行的搜索.
- 使用理论领域框架 (TDF) 分析数据,为指南特征提出了一个新的领域.
主要成果:
- 包括24项关于国家CPG遵守情况的研究.
- 医疗保健专业人员的主要影响因素包括环境背景/资源,CPG开发/传播以及对后果的信念.
- 知识缺口和缺乏强化促进者 (例如,财政支持) 也很重要.
结论:
- CPG的遵守受到多层次因素的影响,其中环境背景和资源最为突出.
- 本综述提供了对德国CPG合规障碍和促进者的全面见解.
- 调查结果可以为制定有针对性的策略提供信息,以提高CPG在德国医疗保健系统中的遵守和实施.
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