Bridging the gap between therapeutic research results and physician prescribing decisions: knowledge transfer, a prerequisite to knowledge translation
Bridging the gap between therapeutic research results and physician prescribing decisions: knowledge transfer, a prerequisite to knowledge translation
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DOI：
10.1007/s00228-004-0816-2
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发表时间：
2004-11-01
影响因子：
2.9
通讯作者：
Haugh, MC
中科院分区：
文献类型：
--
作者：
Boissel, JP;Amsallem, E;Haugh, MC
背景：现有的治疗研究结果和医生的处方之间仍然存在很大的差距。造成这一差距的原因有很多，但一个核心原因是难以将全面的研究信息传递给执业临床医生。这一问题源于信息过载和研究结果日益复杂。我们提出了一个多步骤的过程，可用于开发系统，以弥合这一信息/处方差距。这些步骤包括：全面收集和总结临床试验报告，根据证据等级对这些报告进行评分和排序，使用荟萃分析探索和综合数据，总结这些结果，以易于理解的形式表示它们，并在处方者需要时将概述结果传输给他们。这一雄心勃勃的奋进是必要的，以确保处方医生有机会获得相关的研究结果，用于他们的处方决策。在这篇文章中，我们证明，没有理论或技术障碍，使拟议的系统可行。
Background: A wide gap continues to exist between available therapeutic research results and physician's prescribing. Numerous explanations account for this gap, but one central reason is the difficulty in transferring comprehensive research information to practicing clinicians. This problem arises from information overload and the growing complexity of research findings. We propose a multistep process that can be used to develop systems to bridge this information/prescription gap. The steps include: comprehensively collecting and summarizing clinical trial reports, scoring and ranking these according to their level of evidence, exploring and synthesizing the data using meta-analyses, summarizing these results, representing them in an easily understandable form, and transmitting the overview findings to prescribers at the time they need them.Discussion: This ambitious endeavor is needed to ensure that prescribers have access to pertinent research results for use in their prescription decisions. We demonstrate in this article that there are no theoretical or technical obstacles to make the proposed system workable.