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改善德国肿瘤临床实践指南患者版使用和传播的建议:多利益攸关方研讨会的结果。

Recommendations to improve use and dissemination of patient versions of oncological clinical practice guidelines in Germany: results of a multi-stakeholder workshop.

机构信息

Institute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Cologne, Germany.

Institute for Medical Knowledge Management c/o Philipps University Marburg, Association of the Scientific Medical Societies in Germany, Marburg/Berlin, Germany.

出版信息

BMC Public Health. 2024 Sep 3;24(1):2393. doi: 10.1186/s12889-024-19893-w.

Abstract

BACKGROUND

Oncological patients have high information needs that are often unmet. Patient versions of oncological clinical practice guidelines (PVG) translate clinical practice guidelines into laypersons' language and might help to address patients' information needs. Currently, 30 oncological PVG have been published in Germany and more are being developed. Following a large multi-phase project on oncological PVGs in Germany, recommendations to improve use and dissemination of PVG were adopted in a multi-stakeholder workshop.

METHODS

Organisations representing users of PVGs (patients, medical personnel, and multipliers), creators, initiators/funding organisations of PVGs, and organisations with methodological expertise in the development of clinical practice guidelines or in patient health information were invited to participate. The workshop included a World Café for discussion of pre-selected recommendations and structured consensus procedure for of all recommendations. Recommendations with agreement of > 75% were approved, and in case of ≤ 75% agreement, recommendations were rejected.

RESULTS

The workshop took place on 24th April 2023 in Cologne, Germany. Overall, 23 people from 24 organisations participated in the discussion. Of 35 suggested recommendations 28 recommendations reached consensus and were approved. The recommendations referred to the topics dissemination (N = 13), design and format (N = 7), (digital) links (N = 5), digitalisation (N = 4), up-to-dateness (N = 3), and use of the PVG in collaboration between healthcare providers and patients (N = 3).

CONCLUSION

The practical recommendations consider various perspectives and can help to improve use and dissemination of oncological PVG in Germany. The inclusion of different stakeholders could facilitate the transfer of the results into practice.

摘要

背景

肿瘤患者有很高的信息需求,但这些需求往往得不到满足。肿瘤患者版临床实践指南(PVG)将临床实践指南转化为通俗易懂的语言,可能有助于满足患者的信息需求。目前,德国已经出版了 30 种肿瘤学 PVG,并且还在开发更多的指南。在德国进行了一项大型多阶段的肿瘤学 PVG 项目后,多利益相关者研讨会通过了改善 PVG 使用和传播的建议。

方法

邀请代表 PVG 用户(患者、医疗人员和传播者)、PVG 的创作者、发起者/资助组织,以及在临床实践指南制定或患者健康信息方面具有方法学专业知识的组织参加研讨会。研讨会包括一个世界咖啡馆,用于讨论预先选定的建议,以及对所有建议进行结构化共识程序。达成>75%一致的建议被批准,如果达成≤75%的一致,则建议被拒绝。

结果

研讨会于 2023 年 4 月 24 日在德国科隆举行。共有来自 24 个组织的 23 人参加了讨论。在提出的 35 条建议中,有 28 条建议达成共识并获得批准。这些建议涉及传播(N=13)、设计和格式(N=7)、(数字)链接(N=5)、数字化(N=4)、最新(N=3)以及医疗保健提供者和患者之间使用 PVG 合作(N=3)。

结论

这些实用的建议考虑了各种观点,可以帮助提高德国肿瘤学 PVG 的使用和传播。纳入不同的利益相关者可以促进将研究结果转化为实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf10/11373279/9f010b5369a1/12889_2024_19893_Fig1_HTML.jpg

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