巴西当地医疗机构的基于证据的护理计划:经验和影响
César Ramos Rocha-Filho1, Felipe Sebastião de Assis Reis2, Aline Rocha3
1Research and Education Department, BP ‒ A Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil; Health Technology Assessment Center, BP ‒ A Beneficência Portuguesa de São Paulo (NATS BP), São Paulo, SP, Brazil.
Clinics (Sao Paulo, Brazil)
|April 17, 2025
概括
一个基于证据的护理计划 (EBCP) 及时提供了证据,对医疗保健专业人员的决策产生了重大影响. 报告了高满意度和观点的转变,证明了该计划的价值.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于证据的实践.
- 卫生技术评估 卫生技术评估
背景情况:
- 基于证据的护理计划 (EBCP) 的实施对于将研究成果纳入临床实践至关重要.
- 医院需要结构化的方法来支持医疗保健专业人员做出明智的决策.
- 在各种医院环境中,EBCP对决策过程的影响需要持续评估.
研究的目的:
- 评估基于证据的护理计划 (EBCP) 对医疗保健专业人员决策的活动和影响.
- 为巴西圣保罗的一家大型医院提供EBCP的运作和结果的概述.
- 分析基于证据的审查对医院政策和实践的利用和影响.
主要方法:
- 一个医院的EBCP数据库的回顾性描述性分析跨越40个月.
- 包括来自进行的科学技术报告 (快速系统审查和文献审查) 的数据.
- 对对计划申请者进行的在线反调查的分析.
主要成果:
- EBCP制作了95份报告 (55份快速系统性审查,40份文献评论),涵盖了住院患者,瘤学和外科手术等主题.
- 医疗器械,药物和秤/问卷是最常被评估的技术.
- 审查主要是基于政策/程序更新 (59),科学研究 (10),和临床程序开发 (8).
- 97%的受访者对评论感到满意,100%的人可能会要求未来的评论.
- 94%的快速系统审查受访者认为EBCP为他们的决定提供了依据,32%的受访者报告了对评估技术的观点发生了变化.
结论:
- 欧洲商业银行计划有效地提供了及时和相关的证据,以支持当地决策.
- 医疗保健专业人员表示对EBCP的满意度很高,对他们的决策过程产生了积极的影响.
- 该计划展示了一个成功的模型,将证据整合到医院实践中,并影响专业观点.
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