The missing link in preconceptional care: the role of comparative effectiveness research.

The missing link in preconceptional care: the role of comparative effectiveness research.
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DOI:
10.1007/s10995-012-1056-1
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发表时间:
2013-07
影响因子:
2.3
通讯作者:
Mogos M
Mogos M
中科院分区:
医学4区
文献类型:
--
作者:
Salihu HM;Salinas A;Mogos M

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本文讨论了一个重要的元素,是从现有的算法缺乏孕前保健,即比较有效性研究(CER)。据我们所知,对促进孕前健康的各种干预措施的相对有效性、这些措施最有效的条件、对哪些特定人群及其相对成本的评估有限。CER可以改善决策过程的资金,发展,实施和评估的综合孕前保健计划,特别是通过确定最有效的干预措施与可接受的成本,以社会。本文将研究孕前保健背后的框架,以及如何将比较有效性研究和评估纳入现有的孕前保健算法,以促进改善孕产妇和儿童健康。我们讨论的挑战和机遇,利用CER在孕前健康的决策过程中,最后,我们为未来的发展方向提供了建议。
This paper discusses an important element that is missing from the existing algorithm of preconception care, namely, comparative effectiveness research (CER). To our knowledge, there has been limited assessment of the comparative effectiveness of diverse interventions that promote preconception health, conditions under which these are most effective, for which particular populations, and their comparative costs. CER can improve the decision making process for the funding, development, implementation, and evaluation of comprehensive preconception care programs, specifically by identifying the most effective interventions with acceptable costs to society. This paper will examine the framework behind preconception care and how the inclusion of comparative effectiveness research and evaluation into the existing algorithm of preconception care could foster improvement in maternal and child health. We discuss challenges and opportunities regarding the utilization of CER in the decision making process in preconception health, and finally, we provide recommendations for future directions.
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