Stang Andreas, Bärninghausen Till
Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen.
Institut für Public Health, Universität Heidelberg, Heidelberg.
Gesundheitswesen. 2017 Nov;79(11):913-915. doi: 10.1055/s-0043-118531. Epub 2017 Oct 25.
Medical actions that have been shown to be beneficial in individual studies may be associated with a negative benefit-harm balance at the population level due to oversupply or undersupply. Therefore, structured dialogues among basic researchers, clinicians and public health researchers are needed to generate relevant public health questions in relation to medical actions and to undertake research projects that answer these questions. For this purpose, more structured PhD programs in public health are required. Implementation barriers for evidence-based medical actions in the population need to be identified and tailored interventions to reduce these barriers need to be developed and evaluated.
在个别研究中已显示有益的医疗行为,在人群层面可能因供应过剩或供应不足而导致利弊平衡为负。因此,基础研究人员、临床医生和公共卫生研究人员之间需要进行结构化对话,以提出与医疗行为相关的公共卫生问题,并开展回答这些问题的研究项目。为此,需要更多结构化的公共卫生博士项目。需要识别出人群中基于证据的医疗行为的实施障碍,并制定和评估针对性的干预措施以减少这些障碍。