Hong Quan Nha, McSween-Cadieux Esther, Guillette Maxime, Manceau Luiza Maria, Li Jingjing, Granikov Vera, Pomey Marie-Pascale, Gagnon Marie-Pierre, Ziam Saliha, Dagenais Christian, Dagenais Pierre, Lesage Alain, Poder Thomas G, Drapeau Martin, Ridde Valéry, Lane Julie
School of Rehabilitation, Faculty of Medicine, Université de Montréal, C.P. 6128, Succursale Centre-Ville, Montréal (Québec), H3C 3J7, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada.
BMC Health Serv Res. 2025 Jan 11;25(1):61. doi: 10.1186/s12913-025-12204-y.
The COVID-19 pandemic necessitated the rapid availability of evidence to respond in a timely manner to the needs of practice settings and decision-makers in health and social services. Now that the pandemic is over, it is time to put in place actions to improve the capacity of systems to meet knowledge needs in a situation of crisis. The main objective of this project was thus to develop an action plan for the rapid syntheses of evidence in times of health crisis in Quebec (Canada).
We conducted a three-phase collaborative research project. First, we carried out a survey with producers and users of rapid evidence syntheses (n = 40) and a group interview with three patient partners to prioritize courses of action. In parallel, we performed a systematic mapping of the literature to identify rapid evidence synthesis initiatives developed during the pandemic. The results of these two phases were used in a third phase, in which we organized a deliberative workshop with 26 producers and users of rapid evidence syntheses to identifying strategies to operationalize priorities. The data collected at each phase were compared to identify common courses of action and integrated to develop an action plan.
A total of 14 specific actions structured into four main axes were identified over the three phases. In axis 1, actions on raising awareness of the importance of evidence-informed decision-making among stakeholders in the health and social services network are presented. Axis 2 includes actions to promote optimal collaboration of key stakeholders in the production of rapid evidence synthesis to support decision-making. Actions advocating the use of a variety of rapid evidence synthesis methodologies known to be effective in supporting decision-making are presented in axis 3. Finally, axis 4 is about actions on the use of effective knowledge translation strategies to promote the use of rapid evidence synthesis products to support decision-making.
This project led to the development of a collective action plan aimed at preparing the Quebec ecosystem and other similar jurisdictions to meet knowledge needs more effectively in times of health emergency. The implementation of this plan and its evaluation will enable us to continue to fine-tune it.
新冠疫情使得必须迅速提供证据，以便及时满足卫生和社会服务领域实践环境及决策者的需求。既然疫情已结束，现在是时候采取行动，提高系统在危机情况下满足知识需求的能力了。因此，本项目的主要目标是制定一项在加拿大魁北克省卫生危机时期快速综合证据的行动计划。
我们开展了一个分三个阶段的合作研究项目。首先，我们对快速证据综合的生产者和使用者进行了一项调查（n = 40），并与三名患者合作伙伴进行了小组访谈，以确定行动方案的优先顺序。同时，我们对文献进行了系统梳理，以识别疫情期间开展的快速证据综合举措。这两个阶段的结果用于第三阶段，在该阶段，我们与26名快速证据综合的生产者和使用者组织了一次审议研讨会，以确定将优先事项付诸实施的策略。对每个阶段收集的数据进行比较，以确定共同的行动方案，并将其整合以制定行动计划。
在三个阶段共确定了14项具体行动，分为四个主要方面。在方面1中，提出了提高卫生和社会服务网络中各利益相关者对循证决策重要性认识的行动。方面2包括促进关键利益相关者在快速证据综合生产中进行最佳协作以支持决策的行动。方面3提出了倡导使用各种已知在支持决策方面有效的快速证据综合方法的行动。最后，方面4是关于使用有效的知识转化策略来促进快速证据综合产品的使用以支持决策的行动。
本项目促成了一项集体行动计划的制定，旨在使魁北克生态系统及其他类似司法管辖区做好准备，以便在卫生紧急情况期间更有效地满足知识需求。该计划的实施及其评估将使我们能够继续对其进行微调。
