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被忽视的循证管理背景和结果:医院环境下的系统范围界定综述。

The neglected contexts and outcomes of evidence-based management: a systematic scoping review in hospital settings.

机构信息

Evidence-based Healthcare Management Unit, American University of Beirut Medical Center, Beirut, Lebanon.

Department of Human Resource Studies, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.

出版信息

J Health Organ Manag. 2021 Dec 28;36(9):48-65. doi: 10.1108/JHOM-03-2021-0101.

DOI:10.1108/JHOM-03-2021-0101
PMID:34985223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9627724/
Abstract

PURPOSE

The coronavirus disease 2019 (COVID-19) pandemic highlighted the necessity of practicing Evidence-based Management (EBMgt) as an approach to decision-making in hospital settings. The literature, however, provides limited insight into the process of EBMgt and its contextual nuances. Such insight is critical for better leveraging EBMgt in practice. Therefore, the authors' aim was to integrate the literature on the process of EBMgt in hospital settings, identify the gaps in knowledge and delineate areas for future research.

DESIGN/METHODOLOGY/APPROACH: The authors conducted a systematic scoping review using an innovative methodology that involved two systematic searches. First using EBMgt terminology and second using terminology associated with the EBMgt concept, which the authors derived from the first search.

FINDINGS

The authors identified 218 relevant articles, which using content analysis, they mapped onto the grounded model of the EBMgt process; a novel model of the EBMgt process developed by Sahakian and colleagues. The authors found that the English language literature provides limited insight into the role of managers' perceptions and motives in EBMgt, the practice of EBMgt in Global South countries, and the outcomes of EBMgt. Overall, this study's findings indicated that aspects of the decision-maker, context and outcomes have been neglected in EBMgt.

ORIGINALITY/VALUE: The authors contributed to the EBMgt literature by identifying these gaps and proposing future research areas and to the systematic review literature by developing a novel scoping review method.

摘要

目的

2019 年冠状病毒病(COVID-19)大流行凸显了在医院环境中实践循证管理(EBMgt)作为决策方法的必要性。然而,文献对于 EBMgt 及其背景细节的过程提供的见解有限。这种见解对于在实践中更好地利用 EBMgt 至关重要。因此,作者的目的是整合关于医院环境中 EBMgt 过程的文献,确定知识差距,并划定未来研究领域。

设计/方法/方法:作者使用一种创新的方法进行了系统的范围界定审查,该方法涉及两次系统搜索。首先使用 EBMgt 术语,其次使用与 EBMgt 概念相关的术语,作者从第一次搜索中得出了这个术语。

发现

作者确定了 218 篇相关文章,通过内容分析,将这些文章映射到 EBMgt 过程的基础模型上;这是 Sahakian 及其同事开发的 EBMgt 过程的新模型。作者发现,英语文献对管理者在 EBMgt 中的感知和动机、全球南方国家的 EBMgt 实践以及 EBMgt 的结果的作用提供的见解有限。总的来说,这项研究的结果表明,决策者、背景和结果的各个方面在 EBMgt 中被忽视了。

原创性/价值:作者通过确定这些差距并提出未来的研究领域,为 EBMgt 文献做出了贡献,并通过开发一种新的范围界定审查方法为系统审查文献做出了贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/b7412fd1369c/jhealthorganmanag-36-0048-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/dbf21256e40d/jhealthorganmanag-36-0048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/f0f4b593ef73/jhealthorganmanag-36-0048-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/b7412fd1369c/jhealthorganmanag-36-0048-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/dbf21256e40d/jhealthorganmanag-36-0048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/f0f4b593ef73/jhealthorganmanag-36-0048-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c7/9627724/b7412fd1369c/jhealthorganmanag-36-0048-g003.jpg

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本文引用的文献

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The neglected 95% revisited: Is American psychology becoming less American?被忽视的 95% 再探讨:美国心理学是否正在变得不那么“美国”?
Am Psychol. 2021 Jan;76(1):116-129. doi: 10.1037/amp0000622. Epub 2020 Apr 9.
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Covid-19: how doctors and healthcare systems are tackling coronavirus worldwide.新冠疫情:全球医生及医疗体系如何应对冠状病毒
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Supporting the Health Care Workforce During the COVID-19 Global Epidemic.在新冠疫情全球大流行期间为医护人员提供支持。
JAMA. 2020 Apr 21;323(15):1439-1440. doi: 10.1001/jama.2020.3972.
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COVID-19-New Insights on a Rapidly Changing Epidemic.《2019冠状病毒病——快速演变疫情的新见解》
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Improving patient flow through applying lean concepts to emergency department.通过将精益理念应用于急诊科来改善患者流程。
Leadersh Health Serv (Bradf Engl). 2018 Jul 2;31(3):293-309. doi: 10.1108/LHS-02-2018-0014. Epub 2018 May 30.
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E-HOSPITAL - A Digital Workbench for Hospital Operations and Services Planning Using Information Technology and Algebraic Languages.电子医院——一个利用信息技术和代数语言进行医院运营与服务规划的数字工作平台。
Stud Health Technol Inform. 2017;245:84-88.
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The effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare: a systematic review.研究实施策略在促进医疗保健中循证政策和管理决策方面的有效性:系统评价。
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