Barkhordarian Andre, Hacker Brett, Chiappelli Francesco
Bioinformation. 2011;7(6):315-9. doi: 10.6026/007/97320630007315. Epub 2011 Nov 20.
Standards of care pertain to crafting and implementing patient-centered treatment interventions. Standards of care must take into consideration the patient's gender, ethnicity, medical and dental history, insurance coverage (or socioeconomic level, if a private patient), and the timeliness of the targeted scientific evidence. This resolves into a process by which clinical decision-making about the optimal patient-centered treatment relies on the best available research evidence, and all other necessary inputs and factors to provide the best possible treatment. Standards of care must be evidence-based, and not merely based on the evidence - the dichotomy being critical in contemporary health services research and practice. Evidence-based standards of care must rest on the best available evidence that emerges from a concerted hypothesis-driven process of research synthesis and meta-analysis. Health information technology needs to become an every-day reality in health services research and practice to ensure evidence-based standards of care. Current trends indicate that user-friendly methodologies, for the dissemination of evidence-based standards of care, must be developed, tested and distributed. They should include approaches for the quantification and analysis of the textual content of systematic reviews and of their summaries in the form of critical reviews and lay-language summaries.
护理标准涉及制定和实施以患者为中心的治疗干预措施。护理标准必须考虑患者的性别、种族、医学和牙科病史、保险范围(如果是自费患者,则考虑社会经济水平)以及目标科学证据的及时性。这演变成一个过程,在此过程中,关于最佳以患者为中心治疗的临床决策依赖于可获得的最佳研究证据以及所有其他必要的投入和因素,以提供尽可能最佳的治疗。护理标准必须以证据为基础,而不仅仅基于证据——这种二分法在当代卫生服务研究和实践中至关重要。基于证据的护理标准必须基于从协调一致的假设驱动的研究综合和荟萃分析过程中得出的最佳可用证据。卫生信息技术需要在卫生服务研究和实践中成为日常现实,以确保基于证据的护理标准。当前趋势表明,必须开发、测试和传播便于用户使用的方法,以传播基于证据的护理标准。这些方法应包括对系统评价文本内容及其以批判性评价和通俗语言摘要形式呈现的总结进行量化和分析的方法。