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改善极度肥胖住院患者医疗保健结局的医疗服务干预措施:证据与差距图方案

Healthcare Service Interventions to Improve the Healthcare Outcomes of Hospitalised Patients with Extreme Obesity: Protocol for an Evidence and Gap Map.

作者信息

Hales Caz, Chrystall Rebecca, Haase Anne M, Jeffreys Mona

机构信息

School of Nursing Midwifery and Health Practice, Faculty of Health, Victoria University of Wellington, Wellington 6021, New Zealand.

School of Health, Faculty of Health, Victoria University of Wellington, Wellington 6041, New Zealand.

出版信息

Methods Protoc. 2022 Jun 8;5(3):48. doi: 10.3390/mps5030048.

DOI:10.3390/mps5030048
PMID:35736549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9228870/
Abstract

Hospitalised patients with extreme obesity have poorer healthcare outcomes compared to normal weight patients. How hospital services are coordinated and delivered to meet the care needs of patients with extreme obesity is not well understood. The aim of the proposed evidence gap map (EGM) is to identify and assess the available evidence on healthcare interventions to improve healthcare outcomes for hospitalised patients with extreme obesity. This research will use standardised evidence gap map methods to undertake a five-stage process to develop an intervention-outcome framework; identify the current evidence; critically appraise the quality of the evidence, extract, code, and summarise the data in relation to the EGM objectives; and create a visualisation map to present findings. This EGM will provide a means of determining the nature and quality of health service initiatives available, identify the components of the services delivered and the outcome measures used for evaluation, and will identify areas where there is a lack of research that validates the funding of new research studies.

摘要

与正常体重患者相比,极度肥胖的住院患者的医疗保健结果更差。目前对于如何协调和提供医院服务以满足极度肥胖患者的护理需求,人们了解得并不充分。拟议的证据差距图(EGM)的目的是识别和评估关于医疗保健干预措施的现有证据,以改善极度肥胖住院患者的医疗保健结果。本研究将使用标准化的证据差距图方法,开展一个五阶段的过程来制定干预-结果框架;识别当前证据;严格评估证据质量,提取、编码并汇总与证据差距图目标相关的数据;并创建一个可视化地图来呈现研究结果。这张证据差距图将提供一种手段,用以确定现有卫生服务举措的性质和质量,识别所提供服务的组成部分以及用于评估的结果指标,并将识别缺乏研究验证新研究资金投入的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fb/9228870/c5e4e8b25d19/mps-05-00048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fb/9228870/c5e4e8b25d19/mps-05-00048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fb/9228870/c5e4e8b25d19/mps-05-00048-g001.jpg

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本文引用的文献

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Ethnicity-specific BMI cutoffs for obesity based on type 2 diabetes risk in England: a population-based cohort study.基于英国 2 型糖尿病风险的种族特异性 BMI 切点与肥胖:一项基于人群的队列研究。
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Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review.
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AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both.AMSTAR 2:一种用于系统评价的关键评估工具,该系统评价包括医疗保健干预措施的随机或非随机研究,或两者皆有。
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