为ACTMed试验优先考虑临床指标:在电子时代进行初级保健研究的修改名义组技术方法
Andrew Donald1, Nicolette Ellis2, Esa Chen3
1Department of General Practice and Primary Care, University of Melbourne, Melbourne, Vic 3010, Australia.
这项研究使用在线名义组技术优先考虑了初级保健中药物安全性的临床指标. 关键优先事项包括心脏病,呼吸系统问题和防摔,小组互动对最终决策的影响有限.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 临床指标发展发展
背景情况:
- 标称组技术 (NGT) 对于医疗保健专家在临床指标上的共识是有效的.
- 在线方法为NGT提供了传统会议的替代方案.
- 该研究的重点是优先考虑ACTMed试验的指标,以减少初级保健药物相关的危害.
研究的目的:
- 为ACTMed试验优先考虑一组经验证的临床指标.
- 评估在线修改的NGT对共识建设的有效性.
主要方法:
- 使用了一种经过修改的,完全在线的名义集团技术.
- 药剂师和全科医生参与其中.
- 收集了论坛前后调查的定量数据和来自反和讨论的定性数据.
主要成果:
- 首要优先指标:心肌缺血症,AF相关的脑血管缺血症,心力衰竭,喘/COPD,跌倒与骨折.
- 参与者的推理包括成本效益,干预影响,临床结果和实施可行性.
- 定性反突出了影响指标评估的关键因素.
结论:
- 在线NGT的交互组件对最终指标优先级的影响很小.
- 潜在的原因包括强烈的先前存在的参与者观点或群体同质性.
- 该研究强调需要考虑NGT参与者的特征.
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