准则组织的指导文件文件6:实践准则的调整
Rayane El-Khoury1, Mariam Nour Eldine2, Walid Abboud3
1Clinical Research Institute, American University of Beirut, Beirut, Lebanon; Department of Genetic Medicine, Weill Cornell Medicine-Qatar, Doha, Qatar.
大多数指南组织并没有全面详细说明如何调整现有实践指南. 需要更明确的指导和检查清单,以实现高效,具体的适应努力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床实践指南开发 临床实践指南开发
- 基于证据的医学基于证据的医学.
背景情况:
- 制定实践指南是资源密集的.
- 由于资源限制,组织经常调整现有的建议.
- 本研究探讨了组织如何描述指导方针适应过程.
研究的目的:
- 描述适应实践指南的流程.
- 专注于适应,如指导方针开发指导文件中详细说明的那样.
- 确定了适应方法的常见做法和差距.
主要方法:
- 指南制定指南文件的描述性摘要.
- 确定了133个生产指南的组织,并寻求他们的指导.
- 包括那些在其文件中解决了适应问题的组织.
主要成果:
- 只有23%的组织处理了指导方针的调整.
- 常见的方面包括适应计划和修改因素 (可接受性,资源,价值,适用性).
- 组织评估来源指南的质量,货币和相关性,但缺乏对不一致的建议的详细方法.
结论:
- 大多数组织缺乏全面或详细的方法来适应指南.
- 需要更明确的指导和检查清单.
- 需要改进的方法来支持高效和特定环境的适应努力.
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