■临床实践指南(CPG)在提高医疗保健效率方面非常有价值,因为它们可以选择最佳的医疗方法并降低成本。然而,在实践中实施CPG可能是相当具有挑战性的,因为他们需要个人改变,组织,和卫生系统水平。因此,我们的目标是确定结果,障碍,以及与CPG实施相关的促进者。
■我们使用WebofScience进行了广泛的搜索,PubMed,Scopus,Embase,和各种非英语数据库来收集定量的,定性,并回顾了1990年1月1日至2022年12月26日实施CPG的研究。我们的分析集中在结果上,障碍,和CPG实施的促进者,分为四组:决策,卫生系统和医院,专业专家,和临床指南。
■在对37项研究进行了全面审查之后,最显著的结局是成本降低和护理质量提高.然而,某些挑战,如支持不足,教育不足,工作压力大,紧凑的时间表,缺乏统一和明确的指导方针,阻碍了这些改进。为了克服这些障碍,必须优先考虑有效的领导,改善工作条件,分配必要的资源,为准则创建一个结构化的框架,并简化其内容以适应临床情况。
■确定与实施CPG相关的结果和障碍以提高专业绩效至关重要,提高护理质量,培养患者满意度。制定有效的战略取决于这种意识。
UNASSIGNED: Clinical practice guideline (CPGs) are highly valuable in enhancing healthcare efficiency as they lead to the selection of the best medical methods and reduction of their costs. Nevertheless, implementing CPGs in practice can be quite challenging, as they require alterations at individual, organizational, and health system levels. Therefore, we aimed to identify the outcomes, barriers, and facilitators associated with CPG implementation.
UNASSIGNED: We conducted an extensive search using Web of Science, PubMed, Scopus, Embase, and various non-English databases to gather quantitative, qualitative, and review studies on the implementation of CPGs from Jan 1, 1990, to Dec 26, 2022. Our analysis focused on the outcomes, barriers, and facilitators of CPG implementation, which categorized into four groups: policy-making, health system and hospitals, professional experts, and clinical guidelines.
UNASSIGNED: After conducting a thorough review of 37 studies, the most significant outcomes were found to be reduced costs and enhanced quality of care. However, certain challenges, such as inadequate support, insufficient education, high work pressure, tight schedules, and a lack of unified and clear guidelines, hindered these improvements. To overcome these barriers, it is essential to prioritize effective leadership, improve work conditions, allocate necessary resources, create a structured framework for the guidelines, and simplify their content to fit the clinical circumstances.
UNASSIGNED: It is crucial to identify the outcomes and barriers associated with implementing CPGs to enhance professional performance, elevate the quality of care, and foster patient satisfaction. Developing effective strategies hinges on this awareness.