在骨科中,我们能否有基于证据的决策? 一个定性证据综合和概念框架
Arabella Scantlebury1, Katherine Jones2, Joy Adamson3
1Centre for Evidence and Implementation Science, College of Social Sciences, University of Birmingham, Birmingham, B15 2RT, England. a.l.scantlebury@bham.ac.uk.
BMC medical informatics and decision making
|July 2, 2025
概括
整形外科手术的决策是复杂和可变的. 外科医生灵活地优先考虑证据,受到社会化的影响,挑战标准化实践并强调需要基于证据的实施策略.
科学领域:
- 整形外科手术 整形外科手术
- 基于证据的医学基于证据的医学.
- 定性研究是指质量研究.
背景情况:
- 整形外科手术决策表现出显著的变化.
- 一个先前的框架确定了决策的八个驱动因素.
- 这项研究完善了理解动态决策过程的框架.
研究的目的:
- 完善一个概念框架,用于整形外科的决策.
- 探索各种知识和证据类型如何影响外科选择.
- 了解骨科实践变化背后的原因.
主要方法:
- 进行了定性证据综合 (QES).
- 对9个数据库 (2014-2023) 进行了系统的搜索.
- 结果被映射到一个概念框架,并按主题进行了综合.
主要成果:
- 综合包括了25项研究.
- 外科医生从事"医疗经纪",灵活地优先考虑决策驱动因素.
- 社会化影响决策,调解实践中的变化.
结论:
- 介绍了骨科决策的重新概念化的框架.
- 该框架强调决策驱动因素的动态和流动应用.
- 建议转向基于证据的实施策略的范式转变.
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