Case study

案例研究
  • 文章类型: Bibliography
    本数据简要文章中提供的数据提供了有关公众参与和建立共识的概念和经验方法的科学文献的见解。它由从Scopus搜索引擎检索到的具有“公众参与”功能的文章组成,“共识”,和标题中的“值和属性”,abstract,作者关键词。书目上的信息被记录下来,即标题,作者(S),出版年份,源标题。关于如何分析文章的元数据在数据集中提供。从121种出版物中,大多数文献(103)通过案例研究来分析公众参与。根据归纳确定的因素对研究进行了分析,分为两类:1)公众参与:演员,方法,和公众参与程度,和2)共识:方法,冲突。这些数据与题为“从遗产规划的角度来看城市规划中的公众参与和共识建立:系统的文献综述”的研究文章有关。本文将重点放在公众参与因素上,因为共识因素已经在主要文章中进行了解释。本文显示了在分析的研究中实施了哪些参与因素。鉴于此,这篇文章有助于研究公众参与的研究人员和实践者,因为它揭示了公众参与过程中建立共识的方法的多样性,这有助于他们意识到他们想要达到的参与水平以及达到这种水平的手段。
    The data presented in this Data in Brief article offers an insight into the scientific literature on conceptual and empirical approaches to public participation and consensus-building. It consists of articles retrieved from the Scopus search engine which feature \"public participation\", \"consensus\", and \"value and attribute\" in the title, abstract, and author keywords. Information on the bibliography is recorded, namely title, author(s), year of publication, and source title. Metadata on how the articles were analyzed is provided in the dataset. From 121 publications, most literature (103) analyzes public participation through case studies. The studies were analyzed according to factors that were identified inductively and grouped in two categories: 1) public participation: actor, method, and level of public participation, and 2) consensus: approaches, conflict. The data is related to the research article entitled \"Public participation and consensus-building in urban planning from the lens of heritage planning: A systematic literature review\". This paper focuses on the public participation factors as the factors on consensus are already explained in the main article. This paper shows which factors of participation were implemented in the analyzed studies. Given that, this article contributes to researchers and practitioners working on public participation because it reveals the diversity of approaches for consensus-building in public participation processes, which help them realize which level of participation they want to achieve and the means to reach it.
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  • 文章类型: Journal Article
    HealthyHearts NYC was a stepped wedge randomized control trial that tested the effectiveness of practice facilitation on the adoption of cardiovascular disease guidelines in small primary care practices. The objective of this study was to identify was to identify attributes of small practices that signaled they would perform well in a practice facilitation intervention implementation.
    A mixed methods multiple-case study design was used. Six small practices were selected representing 3 variations in meeting the practice-level benchmark of >70% of hypertensive patients having controlled blood pressure. Inductive and deductive approaches were used to identify themes and assign case ratings. Cross-case rating comparison was used to identify attributes of high performing practices.
    Our first key finding is that the high-performing and improved practices in our study looked and acted similarly during the intervention implementation. The second key finding is that 3 attributes emerged in our analysis of determinants of high performance in small practices: (1) advanced use of the EHR; (2) dedicated resources and commitment to quality improvement; and (3) actively engaged lead clinician and office manager.
    These attributes may be important determinants of high performance, indicating not only a small practice\'s capability to engage in an intervention but possibly also its readiness to change. We recommend developing tools to assess readiness to change, specifically for small primary care practices, which may help external agents, like practice facilitators, better translate intervention implementations to context.
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  • 文章类型: Journal Article
    背景:开发新的(从头)临床实践指南(CPG)的方法受到了广泛关注。然而,使用现有CPG文件(CPG适应)对CPG发展的替代方法的研究很少,这是低收入和中等收入国家指南发展小组的一个具体问题。只有几个例子展示了这种替代方法在时间和预算限制下的实际应用。尤其是在院前设置。本文旨在通过案例研究设计,描述和加强使用替代指南开发方法开发院前CPG的方法。
    方法:我们定性地探讨了2016年为南非院前医疗服务提供者开展的CPG开发项目,作为案例研究。关键利益相关者,参与指南项目的各种过程,是有目的地取样的。从一个焦点小组和六个深入访谈中收集了数据,并使用主题分析进行了分析。总体主题和子主题被归纳地发展并归类为挑战和建议,并进一步转化为行动要点。
    结果:主要挑战围绕指南实施而不是开发。其中包括利益和信念对实施建议的不可避免的影响,当地的证据是无效的,不断变化的实施上下文,和反对最终用户的需求。准则的制定和实施加强优先行动包括:i)制定国家最终用户文件;ii)使建议与当地做法保持一致;iii)传达明确一致的信息;iv)解决有争议的建议;v)管理利益的影响,信念和智力冲突;和vi)透明地报告实施决定。
    结论:成功的指南制定过程的基石是将CPG建议转化和实施到临床实践中。我们强调院前指南开发团队的关键优先行动,资源有限,以加强指南开发,传播,并通过从南非开展的院前指南项目中吸取的经验教训来实施。
    BACKGROUND: Methods on developing new (de novo) clinical practice guidelines (CPGs) have received substantial attention. However, research into alternative methods of CPG development using existing CPG documents (CPG adaptation) - a specific issue for guideline development groups in low- and middle-income countries - is sparse. There are only a few examples showcasing the pragmatic application of such alternative approaches in settings with time and budget constraints, especially in the prehospital setting. This paper aims to describe and strengthen the methods of developing prehospital CPGs using alternative guideline development methods through a case study design.
    METHODS: We qualitatively explored a CPG development project conducted in 2016 for prehospital providers in South Africa as a case study. Key stakeholders, involved in various processes of the guideline project, were purposefully sampled. Data were collected from one focus group and six in-depth interviews and analysed using thematic analysis. Overarching themes and sub-themes were inductively developed and categorised as challenges and recommendations and further transformed into action points.
    RESULTS: Key challenges revolved around guideline implementation as opposed to development. These included the unavoidable effect of interest and beliefs on implementing recommendations, the local evidence void, a shifting implementation context, and opposing end-user needs. Guideline development and implementation strengthening priority actions included: i) developing a national end-user document; ii) aligning recommendations with local practice; iii) communicating a clear and consistent message; iv) addressing controversial recommendations; v) managing the impact of interests, beliefs and intellectual conflicts; and vi) transparently reporting implementation decisions.
    CONCLUSIONS: The cornerstone of a successful guideline development process is the translation and implementation of CPG recommendations into clinical practice. We highlight key priority actions for prehospital guideline development teams with limited resources to strengthen guideline development, dissemination, and implementation by drawing from lessons learnt from a prehospital guideline project conducted in South Africa.
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  • 文章类型: Journal Article
    背景:编写良好且透明的病例报告(1)揭示了潜在益处的早期信号,危害,和资源使用信息;(2)为临床研究和临床实践指南提供信息,(3)告知医学教育。当作者遵循报告指南时,高质量的病例报告更有可能。在2011-2012年期间,一群临床医生,研究人员,和期刊编辑提出了建议,以准确报告病例报告中的信息,从而导致CARE(CAseREport)声明和清单。他们在2013年国际同行评审和生物医学出版物大会上发表,得到了多个医学期刊的认可,翻译成九种语言.
    目的:本解释和阐述文件的目的是增加CARE清单在书面和发布病例报告中的使用和传播。
    对CARE清单中的每个项目进行了解释,并附有已发布的示例。本文档中的解释和示例旨在支持作者撰写高质量的案例报告以及编辑对其进行批判性评估,同行审稿人,和读者。
    结论:本文以及2013年CARE声明和清单,可从CARE网站[www。care-statement.org]和EQUATOR网络[www。equator-network.org],是提高病例报告完整性和透明度的资源。
    BACKGROUND: Well-written and transparent case reports (1) reveal early signals of potential benefits, harms, and information on the use of resources; (2) provide information for clinical research and clinical practice guidelines, and (3) inform medical education. High-quality case reports are more likely when authors follow reporting guidelines. During 2011-2012, a group of clinicians, researchers, and journal editors developed recommendations for the accurate reporting of information in case reports that resulted in the CARE (CAse REport) Statement and Checklist. They were presented at the 2013 International Congress on Peer Review and Biomedical Publication, have been endorsed by multiple medical journals, and translated into nine languages.
    OBJECTIVE: This explanation and elaboration document has the objective to increase the use and dissemination of the CARE Checklist in writing and publishing case reports.
    UNASSIGNED: Each item from the CARE Checklist is explained and accompanied by published examples. The explanations and examples in this document are designed to support the writing of high-quality case reports by authors and their critical appraisal by editors, peer reviewers, and readers.
    CONCLUSIONS: This article and the 2013 CARE Statement and Checklist, available from the CARE website [www.care-statement.org] and the EQUATOR Network [www.equator-network.org], are resources for improving the completeness and transparency of case reports.
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  • 文章类型: Journal Article
    病例报告为治疗性按摩和车身(TMB)提供了基于实践的证据基础,以及许多其他与健康相关的领域。为了提高病例报告中包含的信息的一致性,CARE(CASEREport)小组为医学界制定并发布了一套指南,以促进系统的数据收集(http://www。care-statement.org/#).由于医学实践和TMB之间的差异,有必要修改CARE指南的某些部分,以使其与TMB病例报告兼容。因此,本文的目的是介绍CARE指南,将指南的每个部分应用于TMB实践和报告,并进行建议的调整,并强调关注,新的想法,以及TMB病例报告潜在作者的其他资源。适用于TMB病例报告的CARE指南的主要部分是诊断评估,后续行动和结果,和治疗干预。具体来说,因为诊断超出了大多数TMB从业者的范围,就如何将其他卫生保健提供者的诊断纳入TMB病例报告中提出建议.此外,建议案例介绍部分的两个新方面:a)评估措施,概述并描述了病例报告将重点关注的结果指标,和b)对TMB提供商的描述(即,实践范围,实践环境,经验水平,培训,认证,和/或专业知识)作为干预描述的一部分。本文以TMB从业人员撰写案例报告的实际资源为结尾,包括TMB病例报告模板-TMB从业人员可用于指导其撰写病例报告的单个文档。一旦TMB病例报告的作者采用了该模板,未来的努力可以探索对病例报告质量和数量的影响,以及它们如何影响TMB实践,研究,教育和,最终,客户。
    Case reports provide the foundation of practice-based evidence for therapeutic massage and bodywork (TMB), as well as many other health-related fields. To improve the consistency of information contained in case reports, the CARE (CAse REport) Group developed and published a set of guidelines for the medical community to facilitate systematic data collection (http://www.care-statement.org/#). Because of the differences between the practice of medicine and TMB, modifying some sections of the CARE guidelines is necessary to make them compatible with TMB case reports. Accordingly, the objectives of this article are to present the CARE guidelines, apply each section of the guidelines to TMB practice and reporting with suggested adaptations, and highlight concerns, new ideas, and other resources for potential authors of TMB case reports. The primary sections of the CARE guidelines adapted for TMB case reports are diagnostic assessment, follow-up and outcomes, and therapeutic intervention. Specifically, because diagnosis falls outside of the scope of most TMB practitioners, suggestions are made as to how diagnoses made by other health care providers should be included in the context of a TMB case report. Additionally, two new aspects of the case presentation section are recommended: a) assessment measures, which outline and describe the outcome measures on which the case report will focus, and b) a description of the TMB provider (i.e., scope of practice, practice environment, experience level, training, credentialing, and/or expertise) as part of the intervention description. This article culminates with practical resources for TMB practitioners writing case reports, including a TMB Case Report Template-a single document that TMB practitioners can use to guide his or her process of writing a case report. Once the template is adopted by authors of TMB case reports, future efforts can explore the impact on the quality and quantity of case reports and how they impact TMB practice, research, education and, ultimately, the clients.
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    文章类型: Journal Article
    Many diseases and health risks are the result of unhealthy lifestyles and technology could be used as an intervention. However, designing healthy lifestyle technologies is challenging, as the technology should be able to influence user behavior. In this case study, the design and evaluation process of a persuasive healthy lifestyle assistance technology was investigated. The iterative design and evaluation process included: contextual inquiry, storyboarding, concept generation, paper prototyping, video prototyping, interactive prototyping and user testing. Several design challenges are identified and guidelines are described for designing a technological intervention to encourage healthy lifestyles.
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  • 文章类型: Journal Article
    BACKGROUND: A case report is a narrative that describes, for medical, scientific, or educational purposes, a medical problem experienced by one or more patients. Case reports written without guidance from reporting standards are insufficiently rigorous to guide clinical practice or to inform clinical study design.
    OBJECTIVE: Develop, disseminate, and implement systematic reporting guidelines for case reports.
    METHODS: We used a three-phase consensus process consisting of (1) premeeting literature review and interviews to generate items for the reporting guidelines, (2) a face-to-face consensus meeting to draft the reporting guidelines, and (3) postmeeting feedback, review, and pilot testing, followed by finalization of the case report guidelines.
    RESULTS: This consensus process involved 27 participants and resulted in a 13-item checklist-a reporting guideline for case reports. The primary items of the checklist are title, key words, abstract, introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent.
    CONCLUSIONS: We believe the implementation of the CARE (CAse REport) guidelines by medical journals will improve the completeness and transparency of published case reports and that the systematic aggregation of information from case reports will inform clinical study design, provide early signals of effectiveness and harms, and improve healthcare delivery.
    背景:病例报告是一种出于医疗、科学或教育目的,而对一名或多名患者所遇到的医疗问题进行描述的记叙文。在无报告标准指导的情况下编写的案例报告是不够严谨的,无法指导临床实践或报告临床研究设计。主要目标:制定、传播和推行适用于病例报告的系统性报告指引。方法:我们采用的是一个由三个阶段组成的共识形成过程,其中包括(1) 在会议之前审核文字材料并进行口头审查,以生成适用于报告指引的条目,(2)召开面对面的共识会议,起草报告指引,和 (3)在会议之后进行反馈、审核和试点测试,然后完成病例报告指引。结果:此共识形成过程涉及 27 名参与者并产生了一个包含 13 个条目的清单-案例报告的报告指引。该清单的主要条目有标题、关键字、摘要、简介、患者信息、临床发现、时间表、诊断评估、治疗干预、随访和结果、讨论、患者观点和知情同意书。
    Un informe de caso es una narración que describe, con un objetivo médico, científico o educativo, un problema médico experimentado por uno o más pacientes. Los informes de caso redactados sin la orientación de normas de elaboración de informes no son suficientemente rigurosos para guiar la práctica clínica ni para servir de base en el diseño de los estudios clínicos.
    Desarrollar, difundir e implementar pautas sistemáticas de elaboración de informes para los informes de caso.
    Hemos utilizado un proceso de consenso de tres fases consistente en (1) antes de la reunión, revisión de la bibliografía y entrevistas para crear elementos para las pautas de elaboración de informes, (2) reunión de consenso en persona para elaborar un borrador de las pautas de elaboración de informes, y (3) después de la reunión, recogida de opiniones, revisión y pruebas piloto, y, a continuación, redacción definitiva de las pautas de elaboración de informes.
    En este proceso de consenso intervinieron 27 participantes y dio como resultado una lista de comprobación de 13 elementos—una guía para la elaboración de informes aplicable a los informes de caso. Los principales elementos de la lista de comprobación son el título, las palabras clave, el resumen, la introducción, la información al paciente, los hallazgos clínicos, el calendario, la evaluación diagnóstica, las intervenciones terapéuticas, el seguimiento y los resultados, la discusión, la perspectiva del paciente y el consentimiento informado.
    Creemos que la implementación de las pautas CARE (de CAse REport o informe de caso) por las revistas médicas mejorará la exhaustividad y transparencia de los informes de caso publicados, y que la agregación sistemática de los datos procedentes de informes de caso servirá de base para el diseño de los estudios clínicos, proporcionará las primeras señales de efectividad y daños, y mejorará la prestación de servicios médicos.
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  • 文章类型: Case Reports
    背景:病例报告是描述,对于医学来说,科学,或教育目的,一个或多个患者所经历的医疗问题。在没有报告标准指导的情况下撰写的病例报告不够严格,无法指导临床实践或告知临床研究设计。
    目标:开发,传播,并实施病例报告系统报告指南。
    方法:我们使用了一个三阶段的共识过程,该过程包括(1)会前文献回顾和访谈,以生成报告指南的项目,(2)举行面对面协商一致会议,起草报告准则,和(3)会后反馈,review,和试点测试,随后完成病例报告指南。
    结果:该共识过程涉及27名参与者,并产生了13项清单-病例报告报告指南。检查表的主要项目是标题,关键词,abstract,介绍,患者信息,临床发现,时间轴,诊断评估,治疗性干预措施,后续行动和结果,讨论,患者视角,知情同意。
    结论:我们相信医学期刊实施CARE(CAseREport)指南将提高已发表病例报告的完整性和透明度,并且病例报告信息的系统汇总将为临床研究设计提供信息,提供有效性和危害的早期信号,改善医疗保健服务。
    BACKGROUND: A case report is a narrative that describes, for medical, scientific, or educational purposes, a medical problem experienced by one or more patients. Case reports written without guidance from reporting standards are insufficiently rigorous to guide clinical practice or to inform clinical study design.
    OBJECTIVE: Develop, disseminate, and implement systematic reporting guidelines for case reports.
    METHODS: We used a three-phase consensus process consisting of (1) pre-meeting literature review and interviews to generate items for the reporting guidelines, (2) a face-to-face consensus meeting to draft the reporting guidelines, and (3) post-meeting feedback, review, and pilot testing, followed by finalization of the case report guidelines.
    RESULTS: This consensus process involved 27 participants and resulted in a 13-item checklist-a reporting guideline for case reports. The primary items of the checklist are title, key words, abstract, introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent.
    CONCLUSIONS: We believe the implementation of the CARE (CAse REport) guidelines by medical journals will improve the completeness and transparency of published case reports and that the systematic aggregation of information from case reports will inform clinical study design, provide early signals of effectiveness and harms, and improve healthcare delivery.
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  • 文章类型: Journal Article
    背景:病例报告是描述,对于医学来说,科学,或教育目的,一个或多个患者所经历的医疗问题。在没有报告标准指导的情况下撰写的病例报告不够严格,无法指导临床实践或告知临床研究设计。
    目标:开发,传播,并实施病例报告系统报告指南。
    方法:我们使用了一个三阶段的共识过程,该过程包括(1)会前文献回顾和访谈,以生成报告指南的项目,(2)举行面对面协商一致会议,起草报告准则,和(3)会后反馈,review,和试点测试,随后完成病例报告指南。
    结果:该共识过程涉及27名参与者,并产生了13项清单-病例报告报告指南。检查表的主要项目是标题,关键词,abstract,介绍,患者信息,临床发现,时间轴,诊断评估,治疗性干预措施,后续行动和结果,讨论,患者视角,知情同意。
    结论:我们相信医学期刊实施CARE(CAseREport)指南将提高已发表病例报告的完整性和透明度,并且病例报告信息的系统汇总将为临床研究设计提供信息,提供有效性和危害的早期信号,改善医疗保健服务。
    BACKGROUND: A case report is a narrative that describes, for medical, scientific, or educational purposes, a medical problem experienced by one or more patients. Case reports written without guidance from reporting standards are insufficiently rigorous to guide clinical practice or to inform clinical study design.
    OBJECTIVE: Develop, disseminate, and implement systematic reporting guidelines for case reports.
    METHODS: We used a three-phase consensus process consisting of (1) pre-meeting literature review and interviews to generate items for the reporting guidelines, (2) a face-to-face consensus meeting to draft the reporting guidelines, and (3) post-meeting feedback, review, and pilot testing, followed by finalization of the case report guidelines.
    RESULTS: This consensus process involved 27 participants and resulted in a 13-item checklist-a reporting guideline for case reports. The primary items of the checklist are title, key words, abstract, introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent.
    CONCLUSIONS: We believe the implementation of the CARE (CAse REport) guidelines by medical journals will improve the completeness and transparency of published case reports and that the systematic aggregation of information from case reports will inform clinical study design, provide early signals of effectiveness and harms, and improve healthcare delivery.
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