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传播健康证据摘要以促进医疗保健中证据的使用。

Disseminating health evidence summaries to increase evidence use in health care.

作者信息

Galvao Maria Cristiane Barbosa, Carmona Fabio, Grand Roland, Pluye Pierre, Ricarte Ivan Luiz Marques

机构信息

Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

出版信息

Rev Saude Publica. 2018;52:57. doi: 10.11606/s1518-8787.2018052000418. Epub 2018 May 17.

DOI:10.11606/s1518-8787.2018052000418
PMID:29791674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5958963/
Abstract

OBJECTIVE

To verify whether an intervention based on disseminating health evidence summaries by e-mail to health professionals increases access to health evidence databases, and whether health professionals intend to apply the evidence received by e-mail in their clinical practice.

METHODS

This quantitative study started with a survey to collect demographic data and patterns of access to health evidence databases. It was followed by a longitudinal intervention, over 48 weeks, that disseminated 143 health evidence summaries to 339 health professionals with higher education degree who work in the Brazilian Unified Health System. In the longitudinal intervention phase, health professionals voluntarily assessed the received health evidence summaries using the information assessment method. Finally, the study concluded with a survey to identify changes in accessing health evidence databases.

RESULTS

Of the 339 Brazilian health professionals participating in this research, 90 (26.5%) answered the initial and final surveys. After 48 weeks, there was an increase in the use of health evidence databases; 186 (54.9%) participants submitted 7,942 assessments of health evidence summaries, which were relevant for patient care in 5,409 (68%) assessments.

CONCLUSIONS

The dissemination of health evidence summaries by e-mail to health professionals in Brazil increases the reported use of evidence in clinical practice.

摘要

目的

验证通过电子邮件向卫生专业人员传播健康证据摘要的干预措施是否能增加其对健康证据数据库的访问，以及卫生专业人员是否打算将通过电子邮件收到的证据应用于临床实践。

方法

这项定量研究首先进行一项调查，以收集人口统计学数据和访问健康证据数据库的模式。随后进行了为期48周的纵向干预，向在巴西统一卫生系统工作的339名拥有高等教育学位的卫生专业人员传播了143份健康证据摘要。在纵向干预阶段，卫生专业人员使用信息评估方法对收到的健康证据摘要进行自愿评估。最后，该研究以一项调查结束，以确定访问健康证据数据库的变化情况。

结果

参与本研究的339名巴西卫生专业人员中，90人（26.5%）回答了初始和最终调查。48周后，健康证据数据库的使用有所增加；186名（54.9%）参与者提交了7942份对健康证据摘要的评估，其中5409份（68%）评估与患者护理相关。

结论

在巴西，通过电子邮件向卫生专业人员传播健康证据摘要可增加临床实践中报告的证据使用情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/a6663720d5fd/0034-8910-rsp-S1518-52-87872018052000418-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/80f5ce2304b5/0034-8910-rsp-S1518-52-87872018052000418-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/f18223b096b2/0034-8910-rsp-S1518-52-87872018052000418-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/6d6446c4a718/0034-8910-rsp-S1518-52-87872018052000418-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/a6663720d5fd/0034-8910-rsp-S1518-52-87872018052000418-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/80f5ce2304b5/0034-8910-rsp-S1518-52-87872018052000418-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/f18223b096b2/0034-8910-rsp-S1518-52-87872018052000418-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/6d6446c4a718/0034-8910-rsp-S1518-52-87872018052000418-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/032b/5958963/a6663720d5fd/0034-8910-rsp-S1518-52-87872018052000418-gf04.jpg

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