Evidence Standards for Child Health Promotion

儿童健康促进的证据标准

• 批准号: 7630090
• 负责人: ROBERT D SEGE
• 金额: $ 1.74万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-01-01 至 2008-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7630090
• 关键词: Evidence; Standards; Child; Health; Promotion

DESCRIPTION (PROVIDED BY APPLICANT): Modern medical care for children in the United States includes both identification and treatment of disease and promotion of the child's health and well-being. This proposal supports a conference that will allow diverse stakeholder participants to have substantive input into a larger program, funded by the Commonwealth Fund and the Nemours Health Trust, to develop and disseminate evidence standards for child health promotion policy and practice. Recent surveys have demonstrated that parents value health promotion activity and have come to expect it as part of their children's healthcare. Primary care clinicians turn to their professional organizations and other policymaking organizations for policies to guide the content of these health promotion and disease prevention activities. Policy-makers may rely on expert guidance, or on published studies, or on a combination. Unfortunately, the evidence standards typically used in determining health services have only limited application in child health promotion, resulting in disagreements about policies. The investigators have begun a process to develop evidence standards for child health promotion that would allow for more informed discussions. This process began with a planning conference held March 2006, in conjunction with a meeting of the United States Preventive Service Task Force. At that meeting, three main concepts emerged: (1) The outcomes of child health promotion relate primarily to the child's developmental trajectory, rather than the prevention of specific diseases or medical conditions; (2) Current methods of using evidence to inform policy and practice tend to discount the value of scientific methods other than randomized clinical trials, although these other methods often provide the most reasonable information about child health promotion; and (3) There should be a better match between the type of recommendation under consideration and the data necessary to inform and support such a recommendation. Work is progressing on a program to address these concerns and incorporate them into new ways of developing, assessing, and using scientific information in making decisions on child health promotion policies and practices. This conference will solicit the active participation of experts representing different perspectives: researchers, policymakers, practitioners and consumers. The conference will begin with presentations and discussions of key technical issues, and proceed through a series of carefully designed conference activities to develop a new methodological model. Conference participants will then participate in exercises designed to obtain comments on their results and to develop a plan to disseminate and implement the final results. AHRQ funds are sought to enable the large group of stakeholders to work with us to develop evidence standards that will allow clinicians to work more effectively towards improving the health and well being of American children.

描述（由申请人提供）：美国儿童的现代医疗保健包括疾病的识别和治疗以及促进儿童的健康和福祉。该提案支持一项会议，该会议将使各种利益相关者参与者能够对由英联邦基金会和Nemours Health Trust资助的更大计划进行实质性投入，从而为儿童健康促进政策和实践制定和传播证据标准。最近的调查表明，父母重视健康促进活动，并已期望这是孩子医疗保健的一部分。初级保健临床医生将其专业组织和其他政策组织求助于政策，以指导这些促进健康和疾病预防活动的内容。决策者可以依靠专家指导，已发表的研究或合并。不幸的是，通常用于确定卫生服务的证据标准仅在儿童健康促进中的应用有限，导致对政策的分歧。调查人员已经开始制定促进儿童健康的证据标准的过程，这将允许更加明智的讨论。该过程始于2006年3月举行的计划会议，并与美国预防服务工作队的一次会议结合。在该会议上，出现了三个主要概念：（1）儿童健康促进的结果主要与儿童的发育轨迹有关，而不是预防特定疾病或医疗状况； （2）当前使用证据为政策和实践提供信息的方法倾向于折扣随机临床试验以外的科学方法的价值，尽管这些其他方法通常提供了有关儿童健康促进的最合理信息； （3）在考虑的建议类型与为此建议提供和支持此类建议所需的数据之间应该有更好的匹配。工作正在进行一个计划，以解决这些问题，并将它们纳入开发，评估和使用科学信息的新方式中，以制定儿童健康促进政策和实践的决策。这次会议将征求代表不同观点的专家的积极参与：研究人员，决策者，从业者和消费者。会议将从有关关键技术问题的演讲和讨论开始，然后进行一系列精心设计的会议活动，以开发新的方法论模型。然后，会议参与者将参加旨在获取其结果评论的练习，并制定一项计划，以传播和实施最终结果。寻求AHRQ资金，使大批利益相关者能够与我们合作，制定证据标准，使临床医生能够更有效地改善美国儿童的健康和健康。