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首页> 美国卫生研究院文献>Journal of Neurotrauma >Using Evidence To Inform Practice and Policy To Enhance the Quality of Care for Persons with Traumatic Spinal Cord Injury
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Using Evidence To Inform Practice and Policy To Enhance the Quality of Care for Persons with Traumatic Spinal Cord Injury

机译：利用证据告知实践和政策以提高创伤性脊髓损伤患者的护理质量

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In today's economic climate, there is a need to demonstrate a return on investment for healthcare spending and for clinical practice and policy to be informed by evidence. Navigating this process is difficult for decision-makers, clinicians, and researchers alike. This article will describe how a knowledge translation framework and an evidence-based policy-making process were integrated to clarify the problem, frame options, and plan implementation, to impact clinical practice and policy in the area of traumatic spinal cord injury (tSCI). The Access to Care and Timing (ACT) project is focused on optimizing the access and timing of specialized healthcare delivery for persons sustaining a tSCI in Canada. A simulation model was developed that uses current patient data to address complex problems faced by the healthcare system. At a workshop, participants stressed the importance of linking interventions to short- and long-term outcomes to drive change. Presently, there are no national, system level indicators to monitor performance after tSCI. Although the ideal system of care after tSCI is unknown, indicator collection will establish a baseline to measure improvement. The workshop participants prioritized two indicators important from the clinician and patient perspective—timely admission to rehabilitation and meaningful community participation. The ACT simulation model for tSCI care will be used to promote the uptake of identified indicators and provide a predictive link between interventions on potential outcomes. The standardized collection of outcome-oriented indicators will help to evaluate the access and timing of care and to define the ideal system of care after SCI.
机译：在当今的经济形势下，需要证明医疗保健支出以及临床实践和政策的投资回报，并以证据为依据。对于决策者，临床医生和研究人员而言，导航此过程都很困难。本文将介绍如何整合知识翻译框架和基于证据的决策过程，以阐明问题，框架选项和计划实施，以影响脊髓损伤（tSCI）领域的临床实践和政策。护理和计时（ACT）项目的重点是优化在加拿大维持tSCI的人员的专业医疗服务的存取和计时。开发了一个模拟模型，该模型使用当前的患者数据来解决医疗保健系统面临的复杂问题。在研讨会上，与会人员强调了将干预措施与短期和长期成果联系起来以推动变革的重要性。目前，尚无国家系统级指标来监控tSCI之后的性能。尽管尚不清楚tSCI后的理想护理系统，但指标收集将建立衡量改善的基线。研讨会的参与者优先考虑了从临床医生和患者角度来看很重要的两个指标：及时接受康复治疗和有意义的社区参与。用于tSCI护理的ACT模拟模型将用于促进采用已确定的指标，并在对潜在结果的干预措施之间提供预测联系。以结果为导向的指标的标准化收集将有助于评估护理的可及性和时机，并确定SCI后理想的护理系统。

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