The George Washington School of Medicine and Health Sciences, Washington DC, USA.
Section of Plastic Surgery, Comprehensive Hand Center, Michigan Medicine, University of Michigan Medical School, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.
Hand Clin. 2020 May;36(2):145-153. doi: 10.1016/j.hcl.2020.01.002.
Hand surgery researchers should focus on developing high-quality evidence to support the development of health policies affecting surgical care. Policy-makers and leaders of national hand societies can help reduce the variation of care for patients receiving hand surgery by incorporating evidence into guidelines and policies. Comprehensive guidelines for perioperative care help encourage the translation of evidence into practice. Moreover, the identification of institutional-level barriers and facilitators of integration ensures the successful implementation of hand surgery-specific programs. The development of robust metrics to evaluate the effect of policy on practice helps examine the feasibility of clinical guidelines.
手外科研究人员应专注于制定高质量的证据，以支持制定影响手术护理的卫生政策。政策制定者和国家手外科学会的领导者可以通过将证据纳入指南和政策来帮助减少接受手外科手术的患者的护理差异。围手术期护理综合指南有助于鼓励将证据转化为实践。此外，确定机构层面的障碍和促进因素有助于确保成功实施特定于手外科的计划。制定强大的指标来评估政策对实践的影响有助于检查临床指南的可行性。
