Better information for better health care: The evidence-based practice center program and the agency for healthcare research and quality
Better information for better health care: The evidence-based practice center program and the agency for healthcare research and quality
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DOI：
10.7326/0003-4819-142-12_part_2-200506211-00002
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发表时间：
2005-06-21
影响因子：
39.2
通讯作者：
Slutsky, J
中科院分区：
文献类型：
--
作者：
Atkins, D;Fink, K;Slutsky, J
为了向决策者提供最好的可用证据，医疗研究和质量机构在北美各地建立了一个循证实践中心网络。这些中心对合作伙伴组织提出的有关医疗保健的临床、组织和政策干预的重要问题进行系统审查。工程处与合作伙伴和其他决策者密切合作，帮助将这些证据转化为实践或政策。在这篇文章中，我们回顾了我们在过去7年中学到的关于如何提高系统审查的效率和影响的重要教训。经验教训涉及选择正确的主题和范围、与合作伙伴有效合作以及平衡方法的一致性和灵活性。我们审查了该计划的持续演变，以及作为2003年《医疗保险现代化法案》的一部分，计划工作对比较有效性的影响。
To provide decision makers with the best available evidence, the Agency for Healthcare Research and Quality established a network of Evidence-based Practice Centers across North America. The centers perform systematic reviews on important questions posed by partner organizations about clinical, organizational, and policy interventions in health care. The Agency works closely with partners and other decision makers to help translate that evidence into practice or policy. In this paper, we review important lessons we have learned over the past 7 years about how to increase the efficiency and impact of systematic reviews. Lessons concern selecting the right topics and scope, working effectively with partners, and balancing consistency and flexibility in methods. We examine continuing evolutions of the program and the impact of planned work on comparative effectiveness performed as part of the Medicare Modernization Act of 2003.