Tricco Andrea C, Cardoso Roberta, Thomas Sonia M, Motiwala Sanober, Sullivan Shannon, Kealey Michael R, Hemmelgarn Brenda, Ouimet Mathieu, Hillmer Michael P, Perrier Laure, Shepperd Sasha, Straus Sharon E
Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, East Building, Toronto, ON, M5B 1W8, Canada.
Epidemiology Division, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.
Implement Sci. 2016 Jan 12;11:4. doi: 10.1186/s13012-016-0370-1.
We completed a scoping review on the barriers and facilitators to use of systematic reviews by health care managers and policy makers, including consideration of format and content, to develop recommendations for systematic review authors and to inform research efforts to develop and test formats for systematic reviews that may optimise their uptake.
We used the Arksey and O'Malley approach for our scoping review. Electronic databases (e.g., MEDLINE, EMBASE, PsycInfo) were searched from inception until September 2014. Any study that identified barriers or facilitators (including format and content features) to uptake of systematic reviews by health care managers and policy makers/analysts was eligible for inclusion. Two reviewers independently screened the literature results and abstracted data from the relevant studies. The identified barriers and facilitators were charted using a barriers and facilitators taxonomy for implementing clinical practice guidelines by clinicians.
We identified useful information for authors of systematic reviews to inform their preparation of reviews including providing one-page summaries with key messages, tailored to the relevant audience. Moreover, partnerships between researchers and policy makers/managers to facilitate the conduct and use of systematic reviews should be considered to enhance relevance of reviews and thereby influence uptake.
Systematic review authors can consider our results when publishing their systematic reviews. These strategies should be rigorously evaluated to determine impact on use of reviews in decision-making.
我们完成了一项关于医疗保健管理人员和政策制定者使用系统评价的障碍与促进因素的范围综述，包括对形式和内容的考量，旨在为系统评价作者制定建议，并为开发和测试可能优化其应用的系统评价形式的研究工作提供信息。
我们采用阿克斯和奥马利的方法进行范围综述。检索电子数据库（如MEDLINE、EMBASE、PsycInfo）自建库起至2014年9月的数据。任何确定医疗保健管理人员和政策制定者/分析师采用系统评价的障碍或促进因素（包括形式和内容特征）的研究均符合纳入标准。两名评审员独立筛选文献结果并从相关研究中提取数据。使用临床医生实施临床实践指南的障碍与促进因素分类法对确定的障碍和促进因素进行梳理。
我们为系统评价作者确定了有用信息，以指导他们撰写综述，包括针对相关受众提供包含关键信息的单页摘要。此外，应考虑研究人员与政策制定者/管理人员之间的合作关系，以促进系统评价的开展和使用，从而提高综述的相关性并进而影响其应用。
系统评价作者在发表其系统评价时可考虑我们的结果。应严格评估这些策略，以确定其对决策中使用综述的影响。
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