Identifying Research Needs for Improving Health Care
Identifying Research Needs for Improving Health Care
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DOI：
10.7326/0003-4819-157-6-201209180-00515
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发表时间：
2012-09-18
影响因子：
39.2
通讯作者：
Sanders, Gillian D.
中科院分区：
文献类型：
--
作者：
Chang, Stephanie M.;Carey, Timothy S.;Sanders, Gillian D.
来自系统性综述的见解可以帮助新研究更好地满足患者和社区的优先事项和需求。然而，不幸的是，系统评价还没有达到这个位置，以指导和指导新的研究。美国医疗保健研究和质量局的循证实践中心计划使用系统性评价来识别当前证据中的差距，并制定了一个系统的流程，将这些差距与利益相关者的投入优先考虑到明确定义的“未来研究需求”中。2010年，八个循证实践中心开始将这一努力应用于各种临床和政策主题。阻碍系统评价者回答评价核心问题的差距可能包括对亚人群的研究不足，适当的比较研究不足，缺乏适当的结果测量，以及方法问题。由倡导团体、患者、研究人员、临床医生、资助者和政策制定者组成的利益相关者小组通过多次电话会议和优先排序练习帮助缩小差距。每份报告都重点介绍了4至15项高优先级需求，并随附了对研究设计可能考虑因素的描述。确定高度优先的研究需求可能会加快高度优先的、由研究者参与的研究的发展和实施。
Insights from systematic reviews can help new studies better meet the priorities and needs of patients and communities. However, systematic reviews unfortunately have not yet achieved this position to direct and guide new research studies. The Agency for Healthcare Research and Quality's Evidence-based Practice Center Program uses systematic reviews to identify gaps in current evidence and has developed a systematic process of prioritizing these gaps with stakeholder input into clearly defined "future research needs." Eight Evidence-based Practice Centers began to apply this effort in 2010 to various clinical and policy topics.Gaps that prevented systematic reviewers from answering central questions of the review may include insufficient studies on sub-populations, insufficient studies with appropriate comparators, lack of appropriate outcomes measured, and methods problems. Stakeholder panels, consisting of advocacy groups, patients, researchers, clinicians, funders, and policymakers, help refine the gaps through multiple conference calls and prioritization exercises. Each report highlights a focused set of 4 to 15 high-priority needs with an accompanying description of possible considerations for study design. Identification of high-priority research needs could potentially speed the development and implementation of high-priority, stakeholder-engaged research.