在常规临床护理期间评估整体结果:快速范围审查
Nicholas J Parr1, Sarah Young, Becky Baltich Nelson
1VA Evidence Synthesis Program Coordinating Center, VA Portland Health Care System, Portland, OR.
Medical care
|November 8, 2024
概括
关于全人结果措施的研究显示了对其在日常护理中的实施和实用性的洞察. 然而,目前没有研究表明它们对患者健康或临床结果的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
- 临床信息学 临床信息学
背景情况:
- 在日常护理中评估整体结果 (整体健康,生活质量,幸福感) 可以改善转诊,沟通和症状检测.
- 医疗保健提供者和系统对利用这些全面的患者评估有很大的兴趣.
研究的目的:
- 系统地识别和描述现有关于整个人结果措施实施,有效性和有用性的研究.
- 综合这些措施在现实世界临床环境中的表现.
主要方法:
- 采用了范围审查方法,搜索主要数据库 (MEDLINE,PsycINFO,CINAHL) 相关研究.
- 包括到2023年11月出版的英语语言初级研究和系统审查.
- 数据选和抽象由一名调查员进行,并由第二名调查员进行验证.
主要成果:
- 44项初级研究和5项系统性审查符合1300多份初始出版物中包含的标准.
- 对全球福利评估的研究不如对整体健康或生活质量的研究那么广泛.
- 研究提供了对测量性能,可行性,可接受性,实施和实用性的不同观点,但没有任何评估与患者健康结果的变化联系在一起.
结论:
- 目前的证据为临床实践中对全人结果测量的表现和实施提供了有价值的见解.
- 存在着一个关键的差距,因为还没有研究表明评估全人结果对实际临床或患者结果的影响.
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