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剖析不恰当卫生干预措施的复杂性。

Unpacking the complexities of de-implementing inappropriate health interventions.

机构信息

Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA.

出版信息

Implement Sci. 2020 Jan 9;15(1):2. doi: 10.1186/s13012-019-0960-9.

Abstract

De-implementing inappropriate health interventions is essential for minimizing patient harm, maximizing efficient use of resources, and improving population health. Research on de-implementation has expanded in recent years as it cuts across types of interventions, patient populations, health conditions, and delivery settings. This commentary explores unique aspects of de-implementing inappropriate interventions that differentiate it from implementing evidence-based interventions, including multi-level factors, types of action, strategies for de-implementation, outcomes, and unintended negative consequences. We highlight opportunities to continue to advance research on the de-implementation of inappropriate interventions in health care and public health.

摘要

取消不适当的卫生干预措施对于最大限度地减少患者伤害、最大限度地提高资源利用效率和改善人口健康至关重要。随着干预措施类型、患者人群、健康状况和提供环境的跨越,取消不适当干预措施的研究近年来不断扩大。本评论探讨了取消不适当干预措施与实施基于证据的干预措施的不同之处,包括多层次因素、行动类型、取消实施策略、结果和意外的负面后果。我们强调了继续推进医疗保健和公共卫生领域取消不适当干预措施研究的机会。

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