相关实验视频
临床指南对医疗实践的影响:对严格评估的系统审查
1Department of General Practice, University of Aberdeen, Foresterhill Health Centre, UK.
Lancet (London, England)
|November 27, 1993
概括
严格的评估表明,临床指南显著改善了医疗保健过程和患者的结果. 虽然有效,但随着临床实践指南的改善程度有所不同.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于证据的医学基于证据的医学.
- 临床实践指南 临床实践指南
背景情况:
- 对临床指南日益增长的兴趣与对其有效性的持续不确定性形成鲜明对比.
- 缺乏严格的概述阻碍了关于指南有效性的辩论.
- 这项研究解决了对临床指南评估进行全面评估的需要.
研究的目的:
- 系统地审查和综合从临床指南严格评估的发现.
- 确定临床指南对护理过程和结果的影响.
- 评估临床指南在医疗保健中的整体有效性.
主要方法:
- 进行了系统的搜索,以确定符合科学严谨性标准的临床指南的公布评估.
- 包括研究调查临床条件,预防性护理和处方/支持服务的指导方针.
- 分析了59项高质量的研究,以评估指南的影响.
主要成果:
- 在59项严格的评估中,55项表明,在指南实施后的护理过程中出现了显著的改善.
- 11项研究评估了患者的结果,其中9项报告显著改善.
- 在各种指导方针应用中,在护理过程和结果的改进一直被观察到.
结论:
- 明确的临床指导方针在强有力的评估框架内实施时,可以明显提高临床实践.
- 引入指导方针导致的性能改善的规模可能是可变的.
- 证据支持临床指导方针在改善医疗保健提供和患者结果方面的有效性.
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