准则组织的指导文件文件2:优先设定
May Mohamad1, Joanne Khabsa2, Mariam Nour Eldine3
1Scholars in HeAlth Research Program (SHARP), department of internal medicine, American University of Beirut, Beirut, Lebanon.
大多数指南组织优先考虑主题,而不是问题或结果. 虽然最初的清单和标准是常见的,但正式的工具和改进很少见,这表明在制定指南时需要标准化的优先设定.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床实践指南 临床实践指南
背景情况:
- 确定优先级对于制定相关和有效的实践指南至关重要.
- 准则开发组织 (GDO) 提供有关其流程的指导.
研究的目的:
- 描述指南编制组织在其指导材料中记录的优先级设定流程.
- 确定优先级设置的共同要素和变化,以制定实践指南.
主要方法:
- 进行了指南编制组织公开提供的指南文件的描述性摘要.
- 关于主题生成,方法,标准和改进的数据被独立地和重复抽象.
主要成果:
- 94%的组织报告了优先设定过程,主要是主题 (94%),问题 (36%) 和结果 (29%) 较少.
- 创建初始列表和使用标准对于主题和问题是常见的.
- 很少有组织提供关于正式优先设定工具,精细化或指南更新/调整的指导.
结论:
- 大多数组织都有优先级设置流程,但重点关注主题选择.
- 关于正式工具,改进和适应的文档指南存在差距.
- 建议在所有指导方针方面采用标准化的优先级设置方法.
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