生产 Cochrane 系统评价——当前方法的定性研究以及创新和改进的机会。
Producing Cochrane systematic reviews-a qualitative study of current approaches and opportunities for innovation and improvement.
机构信息
Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Cochrane Editorial Unit, Cochrane, London, UK.
出版信息
Syst Rev. 2017 Aug 1;6(1):147. doi: 10.1186/s13643-017-0542-3.
BACKGROUND
Producing high-quality, relevant systematic reviews and keeping them up to date is challenging. Cochrane is a leading provider of systematic reviews in health. For Cochrane to continue to contribute to improvements in heath, Cochrane Reviews must be rigorous, reliable and up to date. We aimed to explore existing models of Cochrane Review production and emerging opportunities to improve the efficiency and sustainability of these processes.
METHODS
To inform discussions about how to best achieve this, we conducted 26 interviews and an online survey with 106 respondents.
RESULTS
Respondents highlighted the importance and challenge of creating reliable, timely systematic reviews. They described the challenges and opportunities presented by current production models, and they shared what they are doing to improve review production. They particularly highlighted significant challenges with increasing complexity of review methods; difficulty keeping authors on board and on track; and the length of time required to complete the process. Strong themes emerged about the roles of authors and Review Groups, the central actors in the review production process. The results suggest that improvements to Cochrane's systematic review production models could come from improving clarity of roles and expectations, ensuring continuity and consistency of input, enabling active management of the review process, centralising some review production steps; breaking reviews into smaller "chunks", and improving approaches to building capacity of and sharing information between authors and Review Groups. Respondents noted the important role new technologies have to play in enabling these improvements.
CONCLUSIONS
The findings of this study will inform the development of new Cochrane Review production models and may provide valuable data for other systematic review producers as they consider how best to produce rigorous, reliable, up-to-date reviews.
背景
制作高质量、相关的系统评价并保持其最新状态具有挑战性。 Cochrane 是健康领域系统评价的主要提供者。为了使 Cochrane 继续为改善健康做出贡献，Cochrane 评价必须严格、可靠并保持最新。我们旨在探讨现有的 Cochrane 评价制作模式和新出现的机会，以提高这些过程的效率和可持续性。
方法
为了了解如何最好地实现这一目标，我们对 106 名受访者进行了 26 次访谈和在线调查。
结果
受访者强调了制作可靠、及时的系统评价的重要性和挑战。他们描述了当前生产模式所带来的挑战和机遇，并分享了他们为改善评价制作所做的工作。他们特别强调了审查方法日益复杂、难以让作者参与并保持在正轨上以及完成整个过程所需时间长等重大挑战。作者和审查小组的角色这一主题非常突出，作者和审查小组是审查制作过程中的核心角色。结果表明，对 Cochrane 系统评价制作模式的改进可以来自于提高角色和期望的清晰度、确保输入的连续性和一致性、能够积极管理审查过程、将一些审查制作步骤集中化、将审查分成更小的“块”，以及改进作者和审查小组之间的能力建设和信息共享方法。受访者指出，新技术在实现这些改进方面发挥着重要作用。
结论
本研究的结果将为新的 Cochrane 评价制作模式的发展提供信息，并为其他系统评价制作商提供有价值的数据，因为他们正在考虑如何最好地制作严格、可靠、最新的评价。
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