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从实验室到临床实践:将比较有效性研究转化为改进的临床实践。

'Bench to behavior': translating comparative effectiveness research into improved clinical practice.

机构信息

Harvard Medical School, Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

出版信息

Health Aff (Millwood). 2010 Oct;29(10):1891-900. doi: 10.1377/hlthaff.2010.0696.

Abstract

The new national emphasis on comparative effectiveness research is likely to generate an unprecedented volume of new findings. It is essential to anticipate the obstacles that front-line health care professionals will face in translating these results into better clinical decision making. We review the current barriers to the dissemination of evidence-based clinical recommendations, including problems with continuing medical education, provider incentives, and quality assurance. We then propose solutions, including more effective educational outreach programs, requirements for practitioners to master important findings, and alignment of incentives to encourage evidence-based practice. Such strategies can lead to policies that could encourage the uptake of new comparative effectiveness data and encourage their translation into better clinical practice.

摘要

新的国家重点强调比较效果研究很可能会产生前所未有的大量新发现。必须预测一线医疗保健专业人员在将这些结果转化为更好的临床决策方面所面临的障碍。我们回顾了当前证据为基础的临床建议传播的障碍,包括继续医学教育、提供者激励和质量保证方面的问题。然后,我们提出了解决方案,包括更有效的教育推广计划、要求从业者掌握重要发现以及激励措施的调整以鼓励基于证据的实践。这些策略可以导致鼓励采用新的比较效果数据并鼓励将其转化为更好的临床实践的政策。

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