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《六项诚实服务原则是否能教给我们知识实施中语境的一切?——评“卫生保健领域知识转化中与语境相关的属性和特征的利益攸关方观点:一项多国分析”》

Six Honest Serving Matters, Teaching Us All We Need to Know About Context in Knowledge Implementation? Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-country Analysis".

机构信息

Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

Int J Health Policy Manag. 2022 Aug 1;11(8):1574-1576. doi: 10.34172/ijhpm.2021.152. Epub 2021 Nov 3.

Abstract

While context is a vital factor in any attempt to study knowledge translation or implement evidence in healthcare, there is a need to better understand the attributes and relations that constitute context. A recent study by J. Squires et al investigates such attributes and definitions, based on 39 stakeholder interviews across Australia, Canada, the United Kingdom, and the United States. Sixteen attributes, comprising 30 elements suggested as new findings, are proposed as the basis for a framework. This commentary argues for the need to incorporate more perspectives but also suggests an initial taxonomy rather than a framework, comprising a wider range of stakeholders and an enhanced understanding of how context elements are related at different levels and how this affects implementation processes. Aligning with person-centred care, this must include not only professionals but also patients and their next of kin, as partners in shaping more evidence-based healthcare.

摘要

尽管在任何试图研究知识转化或在医疗保健中实施证据的尝试中,语境都是一个至关重要的因素,但我们需要更好地理解构成语境的属性和关系。最近,J. Squires 等人在澳大利亚、加拿大、英国和美国进行了 39 次利益相关者访谈,对这些属性和定义进行了研究。提出了 16 种属性,包含 30 个被提议作为新发现的元素,作为框架的基础。本评论认为需要纳入更多的观点,但也建议采用初步分类法而不是框架,其中包括更广泛的利益相关者,并更好地理解在不同层面上语境元素是如何相互关联的,以及这如何影响实施过程。与以患者为中心的护理相一致的是,这不仅必须包括专业人员,还必须包括患者及其近亲,作为塑造更基于证据的医疗保健的合作伙伴。

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