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[医疗机构将循证决策制度化的关键因素 卫生组织中基于证据的决策制度化的关键因素]

[Critical factors for institutionalizing evidence-informed decision-making in healthcare organizationsFactores críticos para la institucionalización de la toma de decisiones basada en la evidencia en las organizaciones de salud].

作者信息

Toma Tereza Setsuko, Barreto Jorge Otávio Maia, Gomes Romeu, Machado Maria Lúcia Teixeira, Riera Rachel, de Toledo Isabela Porto, da Silva Silvio Fernandes

机构信息

Instituto de Saúde São Paulo - SP Brasil Instituto de Saúde, São Paulo - SP, Brasil.

Fundação Oswaldo Cruz - Fiocruz Brasília-DF Brasil Fundação Oswaldo Cruz - Fiocruz, Brasília-DF, Brasil.

出版信息

Rev Panam Salud Publica. 2025 Apr 9;49:e33. doi: 10.26633/RPSP.2025.33. eCollection 2025.

Abstract

OBJECTIVE

To map critical factors for sustainable processes in the institutionalization of evidence-informed decision-making in public health organizations.

METHOD

A rapid critical interpretative synthesis was carried out based on searches conducted in databases, websites, and reference lists, with findings categorized into an appropriate framework.

RESULTS

Twenty studies were analyzed and six dimensions of critical factors were addressed: 1) governance, aimed at dealing with difficulties in the organizational context and motivation for change, together with a management style that has a long-term vision and invests in communication tools; 2) standardized routine processes, involving the characteristics of information that facilitate its incorporation into organizational practices; 3) leadership and commitment, revealing the importance of identifying and engaging leaders who can influence the adoption of evidence-informed policies in organizations; 4) resources, which correspond to the need for training programs that ensure the availability of a team with the skills needed to identify research evidence within a supportive organizational infrastructure; 5) partnerships, collective action, and support, which show the importance of involving stakeholders in collaborative processes, using exchange structures; and 6) culture, related to efforts to bring research and policy closer together, so that they are more receptive to organizational changes.

CONCLUSION

The identified critical factors can provide a reference framework to support improvement planning and the institutionalization of evidence use. The results are applicable to organizations that formulate and implement public health policies and other social policies.

摘要

目的

梳理公共卫生组织中循证决策制度化可持续进程的关键因素。

方法

基于在数据库、网站和参考文献列表中进行的检索开展快速批判性解释性综合分析,将研究结果归类到合适的框架中。

结果

分析了20项研究,涉及关键因素的六个维度:1)治理,旨在应对组织环境中的困难和变革动机,以及具有长远眼光并投资于沟通工具的管理风格;2)标准化常规流程,涉及便于将信息纳入组织实践的信息特征;3)领导力与承诺,揭示了识别和吸引能够影响组织采用循证政策的领导者的重要性;4)资源,对应于开展培训项目的需求,这些项目要确保在支持性组织架构内拥有具备识别研究证据所需技能的团队;5)伙伴关系、集体行动与支持,表明了利用交流结构让利益相关者参与协作过程的重要性;6)文化,与拉近研究和政策距离的努力相关,以便它们更易于接受组织变革。

结论

所确定的关键因素可为支持改进规划和证据应用制度化提供参考框架。研究结果适用于制定和实施公共卫生政策及其他社会政策的组织。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d70/11980526/08f43f343f81/rpsp-49-e33-Figure1.jpg

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