Parmelli Elena, Amato Laura, Saitto Carlo, Davoli Marina
Recenti Prog Med. 2013 Oct;104(10):522-31. doi: 10.1701/1349.14997.
Healthcare systems are offered with a wide range of technologies and services, but they have to cope with decreasing resources and the uncertainty about what is effective and more appropriate. Making decisions about health care interventions is complex. Decisions should be informed by the best available evidence, being comprehensive to take into account all the relevant aspects (e.g. efficacy, safety, equity, costs), and taken within a limited time period. DECIDE is a project funded by the European Community that, using the GRADE methodology, aims at implementing strategies to enhance dissemination and communication of scientific evidence to support on-time evidence-based decision making in clinical practice and healthcare policies. Communication strategies are developed in order to address different target audiences, trying to meet their information needs. One key target are policy makers and managers who are responsible for coverage decision making.
医疗保健系统可获得各种各样的技术和服务,但它们必须应对资源减少以及关于什么是有效和更合适的不确定性。做出医疗保健干预决策很复杂。决策应以可获得的最佳证据为依据,全面考虑所有相关方面(如疗效、安全性、公平性、成本),并在有限时间内做出。DECIDE是一个由欧盟资助的项目,该项目使用GRADE方法,旨在实施战略,以加强科学证据的传播和交流,支持临床实践和医疗保健政策中的及时循证决策。为了针对不同的目标受众制定沟通策略,试图满足他们的信息需求。一个关键目标是负责覆盖范围决策的政策制定者和管理人员。