van Loon Jos H M, Bonham Gordon S, Peterson Dale D, Schalock Robert L, Claes Claudia, Decramer Adelien E M
Arduin Foundation, The Netherlands.
Eval Program Plann. 2013 Feb;36(1):80-7. doi: 10.1016/j.evalprogplan.2012.08.002. Epub 2012 Aug 20.
This article describes how evidence-based outcomes (EBOs) can be used to improve clinical, managerial, and policy decisions. As a component of evidence-based practices, EBOs are defined as measures obtained from the assessment of quality of life-related indicators that are based on a cross-culturally validated quality of life conceptual and measurement model, have utility in that they can be used for multiple purposes, and have robustness in reference to reliability and validity of the assessment strategy employed. A 5-component EBO model is described that provides a framework for the activities involved in selecting, developing, and implementing evidence-based outcomes. Three international examples based on the reliable, valid, and standardized assessment of individual quality of life outcomes are presented that demonstrate how EBOs can be used to improve clinical, managerial, and policy decision making. The article concludes with a discussion of guidelines for developing and using EBOs, and the challenges involved in their use.
本文描述了循证结果(EBOs)如何用于改善临床、管理和政策决策。作为循证实践的一个组成部分,循证结果被定义为通过对与生活质量相关指标进行评估而获得的测量指标,这些指标基于经过跨文化验证的生活质量概念和测量模型,具有可用于多种目的的效用,并且在所采用评估策略的可靠性和有效性方面具有稳健性。文中描述了一个包含五个组成部分的循证结果模型,该模型为选择、制定和实施循证结果所涉及的活动提供了一个框架。文中还列举了三个基于对个体生活质量结果进行可靠、有效和标准化评估的国际实例,展示了循证结果如何用于改善临床、管理和政策决策。文章最后讨论了制定和使用循证结果的指导方针以及使用过程中涉及的挑战。