User survey finds rapid evidence reviews increased uptake of evidence by Veterans Health Administration leadership to inform fast-paced health-system decision-making.
User survey finds rapid evidence reviews increased uptake of evidence by Veterans Health Administration leadership to inform fast-paced health-system decision-making.
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DOI：
10.1186/s13643-016-0306-5
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发表时间：
2016-08-05
影响因子：
3.7
通讯作者：
Helfand M
中科院分区：
文献类型：
--
作者：
Peterson K;Floyd N;Ferguson L;Christensen V;Helfand M
为了为更快节奏的医疗保健决策提供证据合成，快速审查已经成为标准系统审查的精简替代方案。2012年，退伍军人事务循证综合项目（VA ESP）增加了快速审查功能，以支持退伍军人健康管理局（VHA）业务合作伙伴更紧迫的决策需求。VHA的业务合作伙伴通过各种途径，包括在VA ESP的公共网站（http://www.hsrd.research.va.gov/publications/esp/）上发布ESP的快速评估，在传播ESP方面发挥了重要作用。随着快速审查需求的增加，在描述方法和实践方面取得了很大进展。然而，证据综合组织仍在寻求更好地了解如何以及何时使用快速审查。VA ESP进行了一项在线调查，以快速评估运营合作伙伴。该调查评估了决策需要的性质、审查内容的总体感知、结果行动和实施时间框架。我们使用描述性统计和叙述方法来总结研究结果。在2011年10月至2015年4月期间，我们对35个业务合作伙伴完成了12次快速审查。运营合作伙伴主要是非学术主题专家，拥有VA运营的决策权。审查的最常见主题类别是政策或系统（50%）或护理过程（42%）计划。报告完成时间中位数为14.5周。调查回复率为46%，至少有一个业务合作伙伴对92%的报告作出了回应。审查服务于多种目的，包括政策指令或法规（72%）、支持项目开发和评估（55%）、确定未来的研究需求（45%）和确定实施策略（45%）。总体而言，业务合作伙伴对报告内容的看法是积极的。大多数快速评估被立即使用，并在医学研究所的影响程度框架中排名较高：45.4%的人影响了改变，18.2%的人激励了行动，18.2%的人通知了该领域，9.1%的人得到了认可，9.1%的人传播了信息。VA ESP快速审查增加了VHA对证据的吸收，为时间敏感的系统级决策提供信息。未来评估的关键领域包括评估用户对我们简化方法的看法，以及我们告知用户这些方法的努力质量，以及比较我们快速和标准系统审查的可用性和影响。本文的在线版本（doi:10.1186/s13643-016-0306-5）包含补充材料，可供授权用户使用。
To provide evidence synthesis for faster-paced healthcare decision-making, rapid reviews have emerged as a streamlined alternative to standard systematic reviews. In 2012, the Veterans Affairs Evidence-based Synthesis Program (VA ESP) added rapid reviews to support Veterans Health Administration (VHA) operational partners’ more urgent decision-making needs. VHA operational partners play a substantial role in dissemination of ESP rapid reviews through a variety of routes, including posting on the VA ESP’s public website (http://www.hsrd.research.va.gov/publications/esp/). As demand for rapid reviews rises, much progress has been made in characterizing methods and practices. However, evidence synthesis organizations still seek to better understand how and when rapid reviews are being used. The VA ESP administered an online survey to rapid review operational partners. The survey assessed the nature of decision-making needs, overall perception of review content, resulting actions, and implementation timeframe. We use descriptive statistics and narrative methods to summarize findings. Between October 2011 and April 2015, we completed 12 rapid reviews for 35 operational partners. Operational partners were primarily non-academic subject matter experts with VA operations’ decision-making authority. The most common topic categories reviewed were policy or system (50 %) or process of care (42 %) initiatives. Median report completion time was 14.5 weeks. Survey response rate was 46 %, with at least one operational partner responding for 92 % of reports. Reviews served multiple purposes including policy directive or regulation (72 %), supporting program development and evaluation (55 %), identifying future research needs (45 %), and determining implementation strategy (45 %). Overall, operational partners’ perception of report content was positive. A majority of rapid reviews were used immediately and informed actions ranking high on the Institute of Medicine’s Degrees of Impact framework: 45.4 % effected change, 18.2 % inspired action, 18.2 % informed the field, 9.1 % received recognition, and 9.1 % spread a message. VA ESP rapid reviews have increased the VHA’s uptake of evidence to inform time-sensitive system-level decision-making. Key areas of interest for future evaluation include assessing user perception of our streamlined methods and the quality of our efforts to inform users of these methods, as well as comparing the usability and impact of our rapid and standard systematic reviews. The online version of this article (doi:10.1186/s13643-016-0306-5) contains supplementary material, which is available to authorized users.