Institute for Medical Information Processing, Biometry and Epidemiology.
Institute for Medical Information Processing,Biometry and Epidemiology.
Int J Technol Assess Health Care. 2017 Jan;33(5):577-585. doi: 10.1017/S0266462317000745. Epub 2017 Sep 5.
The translation of research findings into policy and practice is crucially dependent on the applicability of such findings in a given decision-making context. We explored in a case study whether a generic consultation guide to assess the applicability of a health technology could be rapidly deployed and deliver useful insights.
A consultation guide based on the context and implementation for complex interventions (CICI) framework was developed and piloted to assess the applicability of reinforced home-based palliative care in three European countries. Individual consultations in England and Germany and a panel discussion in Poland were completed.
Various barriers may hinder successful implementation of reinforced home-based palliative care in the three countries. Whilst the experts across all countries emphasized the lack of funding along with organization and structure as major barriers, information varied by country for many of the other identified barriers and facilitators. Participants in the pilot study provided positive feedback in terms of understanding the topic and purpose of the consultation, and both individual and panel consultations could be easily implemented.
In this case study, the consultation guide presented a pragmatic, ready-to-use tool to assess the applicability of a health technology. As shown here, it can be used in a generic manner without discrete empirical information on the technology in question or, ideally, makes use of specific information collected as part of a HTA. Further studies are needed to validate this guide and apply it to other types of health technologies and more diverse decision-making contexts.
研究结果转化为政策和实践的关键取决于这些发现对特定决策背景的适用性。我们通过案例研究探索了一种通用的咨询指南,以评估卫生技术的适用性,该指南是否可以快速部署并提供有用的见解。
基于复杂干预措施的背景和实施情况(CICI)框架制定并试行咨询指南,以评估强化家庭姑息治疗在三个欧洲国家的适用性。在英国和德国进行了个别咨询,在波兰进行了小组讨论。
各种障碍可能会阻碍强化家庭姑息治疗在这三个国家的成功实施。虽然所有国家的专家都强调缺乏资金以及组织和结构是主要障碍,但对于许多其他确定的障碍和促进因素,各国的信息各不相同。参与试点研究的人员对理解咨询的主题和目的表示了积极的反馈,并且可以轻松地进行个人和小组咨询。
在这个案例研究中,咨询指南提供了一种实用的、即用型工具来评估卫生技术的适用性。如前所述,它可以以通用的方式使用,而无需有关技术的离散经验信息,或者理想情况下,利用作为 HTA 一部分收集的特定信息。需要进一步的研究来验证该指南并将其应用于其他类型的卫生技术和更多不同的决策背景。