Reinventing The Wheel Of Medical Evidence: How The Boot Camp Translation Process Is Making Gains
Reinventing The Wheel Of Medical Evidence: How The Boot Camp Translation Process Is Making Gains
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DOI：
10.1377/hlthaff.2015.1648
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发表时间：
2016-04-01
期刊：
影响因子：
9.7
通讯作者：
Nease, Don
中科院分区：
文献类型：
--
作者：
Westfall, John M.;Zittleman, Linda;Nease, Don
医疗指南使用的语言和概念许多患者不理解，这使得患者难以选择最好的治疗方法。高平原研究网络的社区咨询委员会由科罗拉多州东部的农民、教师和其他社区成员组成，他们发现了社区对结肠癌知识的缺乏，并开发了一个名为“新兵训练营翻译”的过程，将复杂的筛查指南转化为与当地相关的信息。本文简要介绍了这一过程的历史，并描述了如何使用它来翻译和传播循证医学指南。从2012年到2015年，科罗拉多临床和转化科学研究所在美国各地的社区对多个主题的训练营翻译过程进行了测试。在此期间，该研究所使用该方法超过25次，涉及癌症预防、高血压、哮喘、糖尿病和精神健康等主题。多项研究表明，使用这种方法可以改善癌症检测、哮喘管理和高血压控制。支持将医学证据转化为地方项目的政策将改善患者的健康状况。
Medical guidelines use language and concepts that are not understood by many patients, which makes it difficult for patients to choose the best treatment. The High Plains Research Network's Community Advisory Council, made up of farmers, teachers, and other community members in eastern Colorado, identified a lack of community knowledge about colon cancer and developed a process the council named Boot Camp Translation to turn complex screening guidelines into locally relevant messages. This article provides a brief history of the process and describes how it has been used to translate and disseminate evidence-based medical guidelines. The Colorado Clinical and Translational Sciences Institute tested the Boot Camp Translation process on multiple topics in communities throughout the United States from 2012 to 2015. During that period the institute used the process more than twenty-five times, addressing the topics of cancer prevention, hypertension, asthma, diabetes, and mental health. Multiple studies show that use of the process has led to improvement in cancer testing, asthma management, and hypertension control. Policies that support the translation of medical evidence into local programs will improve the health of patients.