制定一个框架来结构环境和职业健康的决策:一个系统的审查和德尔菲研究研究
Emily Senerth1, Paul Whaley2, Elie Akl3
1Department of Epidemiology, George Washington University, Milken Institute School of Public Health, 950 New Hampshire Ave NW #2, Washington, DC 20052, USA.
Environment international
|January 9, 2025
概括
这项研究综合了环境和职业健康 (EOH) 决策框架,以适应推评估,开发和评价 (GRADE) 评估,开发和评价 (GRADE) 证据到决策 (EtD) 框架的环境和职业健康决策. 这些发现支持量身定制的EOH建议和法规.
科学领域:
- 环境和职业健康 (EOH)
- 系统审查方法 系统审查方法
- 证据综合 证据综合
背景情况:
- 环境环境评估越来越多地使用系统审查,但缺乏标准化的决策框架.
- 推评估,开发和评估 (GRADE) 证据到决策 (EtD) 框架的分级为健康决策提供了一个结构化的方法.
- 这项研究旨在将GRADE EtD框架适应EOH环境.
研究的目的:
- 确定和综合现有的EOH决策框架.
- 评估EOH的GRADE EtD框架的适用性.
- 为量身定制的EOH EtD框架制定基础.
主要方法:
- 对MEDLINE,EMBASE,Cochrane图书馆和灰色文学 (2011-2021) 的系统审查.
- 从确定的框架中对决策考虑的叙述综合.
- 与EOH利益相关者进行两轮的Delphi过程,以完善决策考虑.
主要成果:
- 确定了38个EOH决策框架,抽象了560个决策考虑.
- 通过德尔菲过程,精炼了47个决策考虑因素.
- 与GRADE EtD相比,在EOH特定的词汇和细节性方面发现了差异,但没有完全不同的标准.
结论:
- 该研究为在EOH中应用GRADE EtD框架提供了基础.
- 这种适应对监管环境和职业暴露有影响.
- 它支持制定干预措施的建议,以减轻健康后果.
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