Using logic model methods in systematic review synthesis: describing complex pathways in referral management interventions.
Using logic model methods in systematic review synthesis: describing complex pathways in referral management interventions.
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DOI：
10.1186/1471-2288-14-62
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发表时间：
2014-05-10
影响因子：
4
通讯作者：
Goyder E
中科院分区：
文献类型：
--
作者：
Baxter SK;Blank L;Woods HB;Payne N;Rimmer M;Goyder E
人们对对复杂干预措施进行系统审查的创新方法越来越感兴趣。基于理论的方法（例如逻辑模型）已被建议作为提供除传统审查方法之外的额外见解的一种手段。本文报告了使用一种创新方法，将系统评审过程与逻辑模型技术相结合来综合广泛的文献。与利益相关者探讨了所生成模型的潜在价值。审查确定了 295 篇符合纳入标准的论文。论文包括 141 篇干预研究和 154 篇非干预定量和定性文章。根据这些研究系统地建立了逻辑模型。该模型概述了干预措施、短期结果、调节和中介因素以及长期需求管理结果和影响。干预措施分为从业者教育、流程变革、系统变革和患者干预等类型。这些干预措施可能导致的短期结果是改变医生或患者的知识、信念或态度，以及与改变医患互动相关的干预措施。详细介绍了可能影响这些结果是否导致长期变化的一系列因素。需求管理结果和预期影响包括转诊内容、转诊率以及医生或患者满意度。该逻辑模型详细说明了支持从干预到需求管理影响的复杂路径的证据和假设。该方法为系统评价方法提供了有用的补充。 PROSPERO 注册号：CRD42013004037。
There is increasing interest in innovative methods to carry out systematic reviews of complex interventions. Theory-based approaches, such as logic models, have been suggested as a means of providing additional insights beyond that obtained via conventional review methods. This paper reports the use of an innovative method which combines systematic review processes with logic model techniques to synthesise a broad range of literature. The potential value of the model produced was explored with stakeholders. The review identified 295 papers that met the inclusion criteria. The papers consisted of 141 intervention studies and 154 non-intervention quantitative and qualitative articles. A logic model was systematically built from these studies. The model outlines interventions, short term outcomes, moderating and mediating factors and long term demand management outcomes and impacts. Interventions were grouped into typologies of practitioner education, process change, system change, and patient intervention. Short-term outcomes identified that may result from these interventions were changed physician or patient knowledge, beliefs or attitudes and also interventions related to changed doctor-patient interaction. A range of factors which may influence whether these outcomes lead to long term change were detailed. Demand management outcomes and intended impacts included content of referral, rate of referral, and doctor or patient satisfaction. The logic model details evidence and assumptions underpinning the complex pathway from interventions to demand management impact. The method offers a useful addition to systematic review methodologies. PROSPERO registration number: CRD42013004037.
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影响因子：
3.5
作者：
Schardt, Connie;Adams, Martha B.;Fontelo, Paul
通讯作者：
Fontelo, Paul
DOI：
10.1046/j.1365-2753.2001.00257.x
发表时间：
2001-05-01
影响因子：
2.4
作者：
Dixon-Woods, M;Fitzpatrick, R;Roberts, K
通讯作者：
Roberts, K
影响因子：
--
作者：
McDonald, Kathryn M;Schultz, Ellen M;Chang, Christine
通讯作者：
Chang, Christine
影响因子：
5.2
作者：
Baxter, S.;Killoran, A.;Goyder, E.
通讯作者：
Goyder, E.
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S