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评估信息如何在为政策制定者和其他利益相关者准备的快速综述中呈现:一项横断面研究。

Assessing how information is packaged in rapid reviews for policy-makers and other stakeholders: a cross-sectional study.

作者信息

Garritty Chantelle, Hamel Candyce, Hersi Mona, Butler Claire, Monfaredi Zarah, Stevens Adrienne, Nussbaumer-Streit Barbara, Cheng Wei, Moher David

机构信息

Knowledge Synthesis Group, Clinical Epidemiology Program, Ottawa Hospital Research Institute, The Ottawa Hospital, General Campus, CPCR Building, 501 Smyth Rd, Box 201B, Ottawa, ON, K1H 8L6, Canada.

TRIBE Graduate Program, University of Split School of Medicine, Split, Croatia.

出版信息

Health Res Policy Syst. 2020 Sep 29;18(1):112. doi: 10.1186/s12961-020-00624-7.

Abstract

BACKGROUND

Rapid reviews (RRs) are useful products to healthcare policy-makers and other stakeholders, who require timely evidence. Therefore, it is important to assess how well RRs convey useful information in a format that is easy to understand so that decision-makers can make best use of evidence to inform policy and practice.

METHODS

We assessed a diverse sample of 103 RRs against the BRIDGE criteria, originally developed for communicating clearly to support healthcare policy-making. We modified the criteria to increase assessability and to align with RRs. We identified RRs from key database searches and through searching organisations known to produce RRs. We assessed each RR on 26 factors (e.g. organisation of information, lay language use). Results were descriptively analysed. Further, we explored differences between RRs published in journals and those published elsewhere.

RESULTS

Certain criteria were well covered across the RRs (e.g. all aimed to synthesise research evidence and all provided references of included studies). Further, most RRs provided detail on the problem or issue (96%; n = 99) and described methods to conduct the RR (91%; n = 94), while several addressed political or health systems contexts (61%; n = 63). Many RRs targeted policy-makers and key stakeholders as the intended audience (66%; n = 68), yet only 32% (n = 33) involved their tacit knowledge, while fewer (27%; n = 28) directly involved them reviewing the content of the RR. Only six RRs involved patient partners in the process. Only 23% (n = 24) of RRs were prepared in a format considered to make information easy to absorb (i.e. graded entry) and 25% (n = 26) provided specific key messages. Readability assessment indicated that the text of key RR sections would be hard to understand for an average reader (i.e. would require post-secondary education) and would take 42 (± 36) minutes to read.

CONCLUSIONS

Overall, conformity of the RRs with the modified BRIDGE criteria was modest. By assessing RRs against these criteria, we now understand possible ways in which they could be improved to better meet the information needs of healthcare decision-makers and their potential for innovation as an information-packaging mechanism. The utility and validity of these items should be further explored.

PROTOCOL AVAILABILITY

The protocol, published on the Open Science Framework, is available at: osf.io/68tj7.

摘要

背景

快速综述(RRs)对于医疗保健政策制定者和其他利益相关者而言是有用的产品,他们需要及时的证据。因此,评估快速综述以易于理解的格式传达有用信息的程度非常重要,这样决策者才能充分利用证据为政策和实践提供参考。

方法

我们根据最初为清晰沟通以支持医疗保健政策制定而制定的BRIDGE标准,对103篇快速综述的多样化样本进行了评估。我们对标准进行了修改,以提高可评估性并使其与快速综述保持一致。我们通过关键数据库搜索以及搜索已知会撰写快速综述的组织来识别快速综述。我们根据26个因素(例如信息组织、使用通俗易懂的语言)对每篇快速综述进行评估。对结果进行了描述性分析。此外,我们还探讨了发表在期刊上的快速综述与发表在其他地方的快速综述之间的差异。

结果

某些标准在快速综述中得到了较好的涵盖(例如所有综述都旨在综合研究证据,并且都提供了纳入研究的参考文献)。此外,大多数快速综述都详细阐述了问题或议题(96%;n = 99)并描述了进行快速综述的方法(91%;n = 94),而有几篇涉及了政治或卫生系统背景(61%;n = 63)。许多快速综述将政策制定者和关键利益相关者作为目标受众(66%;n = 68),但只有32%(n = 33)纳入了他们的隐性知识,而直接让他们参与快速综述内容审核的更少(27%;n = 28)。只有六篇快速综述在过程中让患者参与。只有23%(n = 24)的快速综述采用了被认为能使信息易于吸收的格式(即分级条目),25%(n = 26)提供了具体的关键信息。可读性评估表明,快速综述关键部分的文本对于普通读者来说难以理解(即需要接受高等教育),阅读时间为42(± 36)分钟。

结论

总体而言,快速综述与修改后的BRIDGE标准的符合程度一般。通过根据这些标准对快速综述进行评估,我们现在了解了可以对其进行改进的可能方式,以便更好地满足医疗保健决策者的信息需求以及其作为一种信息包装机制的创新潜力。这些项目的实用性和有效性应进一步探讨。

方案可用性

该方案发表在开放科学框架上,可在以下网址获取:osf.io/68tj7。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5deb/7523380/0f419fbb0f8f/12961_2020_624_Fig1_HTML.jpg

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