Factors affecting the utilization of systematic reviews -: A study of public health decision makers
Factors affecting the utilization of systematic reviews -: A study of public health decision makers
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DOI：
10.1017/s0266462300105069
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发表时间：
2001-03-01
影响因子：
3.2
通讯作者：
Barnsley, J
中科院分区：
文献类型：
--
作者：
Dobbins, M;Cockerill, R;Barnsley, J
目的：要确定在何种程度上，公共卫生决策者使用五个系统的评价，使政策decisions，并确定哪些特征预测其use.Methods：这种横断面的后续研究，公共卫生决策者在安大略收集的主要数据，使用电话调查和简短的，自我管理的组织人口统计学调查问卷完成的行政助理为每个医疗卫生官员。自变量包括创新特征、组织特征、环境特征和个体特征。数据被输入到一个专门为这项研究开发的计算机化数据库中，并进行多元Logistic回归分析。结果：参与率非常高，85%的公共卫生单位和96%的决策者完成了调查。此外，63%的受访者表示，他们在过去2年中至少使用过一次系统性评价来做出决定。使用的最重要的预测因素是一个人的位置，期望在未来使用的审查，并认为审查很容易使用，他们克服了有限的关键评估skills.Conclusions的障碍：利用系统评价在安大略是非常高的。在这项研究中发现的利用率显着高于以前的利用率研究报告。一个人的位置被认为是最强的预测使用，确定项目经理和主任作为最合适的观众进行系统的审查。
Objective: To determine the extent to which public health decision makers used five systematic reviews to make policy decisions, and to determine which characteristics predict their use.Methods: This cross-sectional follow-up study of public health decision makers in Ontario collected primary data using a telephone survey and a short, self-administered organizational demographics questionnaire completed by the administrative assistant for each Medical Officer of Health. Independent variables included characteristics of the innovation, organization, environment, and individual. Data were entered into a computerized database developed specifically for this study, and multiple logistic regression analysis was conducted.Results: The participation rate was very high, with 85% of public health units and 96% of available decision makers completing the survey. In addition, 63% of respondents stated they had used at least one of the systematic reviews in the previous 2 years to make a decision. The most important predictors of use were one's position, expecting to use a review in the future, and perceptions that the reviews were easy to use and that they overcame the barrier of limited critical appraisal skills.Conclusions: Utilization of the systematic reviews in Ontario was very high. The utilization rates found in this study were significantly higher than those reported in previous utilization studies. One's position was found to be the strongest predictor of use, identifying program managers and directors as the most appropriate audience for systematic reviews.