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社会保障与保险医学中的证据需求、培训要求及知识转化机会：一项欧洲调查

Evidence needs, training demands, and opportunities for knowledge translation in social security and insurance medicine: A European survey.

作者信息

Kunz Regina, Verbel Adrian, Weida-Cuignet Rebecca, Hoving Jan L, Weinbrenner Susanne, Friberg Emilie, Klipstein Andreas, Van Haecht Christiaan, Autti-Rämö Ilona, Agosti Nadine, Vargas-Prada Sergio, Kneepkens Robert, Lindenger Gert, de Boer Wout, Schaafsma Frederieke G

机构信息

Department of Clinical Research, University of Basel Hospital, EbIM Research and Education, Basel, Switzerland. E-mail:

出版信息

J Rehabil Med. 2021 Apr 12;53(4):jrm00179. doi: 10.2340/16501977-2821.

DOI:10.2340/16501977-2821
PMID:33778897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8814860/
Abstract

OBJECTIVE

To perform a European survey of the evidence needs and training demands of insurance medicine professionals related to professional tasks and evidence-based practice.

DESIGN

International survey.

SUBJECTS

Professionals working in insurance medicine.

METHODS

Experts designed an online questionnaire including 26 questions related to 4 themes: evidence needs; training demands; evidence-seeking behaviour; and attitudes towards evidence-based medicine. Descriptive statistics were presented by country/conference and the total sample.

RESULTS

A total of 782 participants responded. Three-quarter of participants experienced evidence needs at least once a week, related to mental disorders (79%), musculoskeletal disorders (67%) and occupational health (65%). Guidelines (76%) and systematic reviews (60%) were the preferred types of evidence and were requested for assessment of work capacity (64%) and prognosis of return-to-work (51%). Evidence-based medicine was thought to facilitate decision-making in insurance medicine (95%). Fifty-two percent of participants felt comfortable finding, reading, interpreting, and applying evidence. Countries expressed similar needs for reviews on typical topics.

CONCLUSION

This study reveals evidence gaps in key areas of insurance medicine, supporting the need for further research, guidelines and training in evidence-based insurance medicine. Importantly, insurance medicine professionals should recognize that evidence-based practice is crucial in producing high-quality assessments.

摘要

目的

开展一项欧洲范围内的调查，了解保险医学专业人员在专业任务和循证实践方面的证据需求及培训要求。

设计

国际调查。

研究对象

从事保险医学工作的专业人员。

方法

专家设计了一份在线问卷，包含与4个主题相关的26个问题：证据需求；培训要求；证据获取行为；以及对循证医学的态度。按国家/会议及总样本呈现描述性统计数据。

结果

共有782名参与者做出回应。四分之三的参与者每周至少经历一次证据需求，涉及精神障碍（79%）、肌肉骨骼疾病（67%）和职业健康（65%）。指南（76%）和系统评价（60%）是首选的证据类型，被要求用于工作能力评估（64%）和重返工作岗位的预后评估（51%）。循证医学被认为有助于保险医学中的决策制定（95%）。52%的参与者在查找、阅读、解释和应用证据方面感到得心应手。各国对典型主题的综述表达了相似的需求。

结论

本研究揭示了保险医学关键领域的证据空白，支持在循证保险医学方面开展进一步研究、制定指南和进行培训的必要性。重要的是，保险医学专业人员应认识到循证实践对于进行高质量评估至关重要。