Dickinson E
Research Unit, Royal College of Physicians of London, UK.
J Qual Clin Pract. 1998 Mar;18(1):37-46.
This paper describes the work of the Research Unit of the Royal College of Physicians on clinical effectiveness and links with other national initiatives. The overall goal is to improve the quality of care by basing routine care on research evidence, an approach referred to as the 'bridge for health'. Systematic reviews bring together research evidence and are largely carried out by the Cochrane Collaboration, the NHS Centre for Reviews and Dissemination and the NHS Health Technology Assessment programme. Clinical guidelines, now produced according to a more rigorous methodology, are used to package research to support decisions about health care by clinicians, patients and others. Clinical audit, along with outcomes development, is carried out at a national level to support the implementation of clinical guidelines by clinical teams in local health services. To achieve this, it matches the best principles of quality improvement. Future identified trends in clinical effectiveness include a greater emphasis on better integration of effort and exchange of best practice.
本文介绍了皇家内科医学院研究部门在临床疗效方面的工作以及与其他国家举措的联系。总体目标是通过将常规护理建立在研究证据的基础上提高护理质量，这种方法被称为“健康桥梁”。系统评价汇集了研究证据，主要由考克兰协作网、国民保健服务系统综述与传播中心以及国民保健服务系统卫生技术评估项目开展。临床指南现在按照更严格的方法制定，用于整合研究成果，以支持临床医生、患者及其他人员做出有关医疗保健的决策。临床审计以及结果评估在国家层面开展，以支持地方卫生服务机构的临床团队实施临床指南。为实现这一目标，它符合质量改进的最佳原则。未来临床疗效方面已确定的趋势包括更加强调更好地整合工作以及交流最佳实践经验。
