对一般医疗保健专业人员的行为变化沟通指南是否基于证据? 一个系统的审查
Anika Schwarze-Chintapatla1, Jonathan Livingstone-Banks2, Jamie Chua2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. anika.schwarze-chintapatla@trinity.ox.ac.uk.
BMC medicine
|February 15, 2026
概括
对医疗保健专业人员关于患者行为变化沟通的指导缺乏有力的证据. 大多数建议没有得到相关引用的明确支持,这阻碍了有效的患者支持.
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.
- 沟通研究 沟通研究
背景情况:
- 对初级保健专业人员关于健康行为变化沟通的指导是常见的.
- 这种指导的证据基础往往不清楚.
- 本研究系统地审查了当前的指导方针及其支持证据.
研究的目的:
- 系统地审查通用实践医疗保健专业人员关于健康行为变化的沟通指南.
- 确定支持本指南的证据.
主要方法:
- 没有元分析的系统审查 (SWiM).
- 搜索了多个电子数据库和国家指南.
- 提取了沟通建议,并评估了相关性的支持证据引用.
主要成果:
- 在1163条建议中,58.2%包括引用,总共3640.
- 只有39.3%的引用是相关的.
- 20.0%的建议仅使用相关证据;37.0%使用至少一个相关引用.
结论:
- 针对医疗保健专业人员的沟通指南很少有相关证据证明.
- 引用的现有证据往往与指南没有明确的相关性.
- 指导应该更好地利用现有证据来支持医疗保健专业人员.
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