Jaana Mirou, Vartak Smruti, Ward Marcia M
Telfer School of Management, University of Ottawa, Ottawa, Ontario, Canada School of Business, Lebanese American University, Beirut, Lebanon
Department of Health Management and Policy, University of Iowa, Iowa City, IA, USA.
Eval Health Prof. 2014 Sep;37(3):314-34. doi: 10.1177/0163278713511325. Epub 2013 Dec 2.
In light of increasing interest in evidence-based management, we conducted a scoping review of systematic reviews (SRs) and meta-analyses (MAs) to determine the availability and accessibility of evidence for health care managers; 14 MAs and 61 SRs met the inclusion criteria. Most reviews appeared in medical journals (53%), originated in the United States (29%) or United Kingdom (22%), were hospital-based (55%), and targeted clinical providers (55%). Topics included health services organization (34%), quality/patient safety (17%), information technology (15%), organization/workplace management (13%), and health care workforce (12%). Most reviews addressed clinical topics of relevance to managers; management-related interventions were rare. The management issues were mostly classified as operational (65%). Surprisingly, 96.5% of search results were not on target. A better classification within PubMed is needed to increase the accessibility of meaningful resources and facilitate evidence retrieval. Health care journals should take initiatives encouraging the publication of reviews in relevant management areas.
鉴于对循证管理的兴趣日益浓厚，我们对系统评价（SRs）和荟萃分析（MAs）进行了一项范围综述，以确定医疗保健管理人员获取证据的可能性和可及性；14项荟萃分析和61项系统评价符合纳入标准。大多数综述发表在医学期刊上（53%），起源于美国（29%）或英国（22%），以医院为基础（55%），并针对临床提供者（55%）。主题包括卫生服务组织（34%）、质量/患者安全（17%）、信息技术（15%）、组织/工作场所管理（13%）和医疗保健劳动力（12%）。大多数综述涉及与管理人员相关的临床主题；与管理相关的干预措施很少见。管理问题大多归类为运营问题（65%）。令人惊讶的是，96.5%的搜索结果不相关。需要在PubMed内进行更好的分类，以提高有意义资源的可及性并促进证据检索。医疗保健期刊应主动鼓励在相关管理领域发表综述。
