知證衛生決策工具之七——查找系統評價*_《中國循證醫學雜志》

作者：

John N Lavis ¹ , Andrew D Oxman ² , Jeremy Grimshaw ³ , Marit Johansen ⁴ , Jennifer A Boyko ⁵ , Simon Lewin ⁶ , Atle Fretheim ⁷

關鍵詞：

DOI：

10.7507/1672-2531.20100415

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系統評價越來越成為決策的重要信息來源，尤其對評價方案效果更重要。相對于單個研究，系統評價對評價方案效果有很多優勢，也被視為找準問題和為備選方案提供補充意見的重要信息來源。系統評價可從比較的角度看問題，也可描述一個方案可能產生的危害。系統評價有助于理解對同一問題個人或群體怎樣實施、為什么要這樣實施及利益相關者對此方案的看法和經驗。但大量限制因素妨礙了系統評價在決策方面更廣泛的應用。這些限制因素包括對系統評價價值缺乏認識和當試圖檢索系統評價時決策者使用的檢索詞與這些系統評價原作者標注的檢索詞不匹配。決策者檢索的信息類型與系統評價原作者未明確標注該信息類型間不匹配成為突出問題。本文我們將提出三個問題用于指導全面查找系統評價，特別是對備選方案效果評價的系統評價。這些問題包括：① 是否真正需要系統評價？② 可以通過哪些數據庫和檢索策略找到相關的系統評價？③ 若無相關系統評價可獲得哪些替代信息？

引用本文： John N Lavis,Andrew D Oxman,Jeremy Grimshaw,Marit Johansen,Jennifer A Boyko,Simon Lewin,Atle Fretheim. 知證衛生決策工具之七——查找系統評價*. 中國循證醫學雜志, 2010, 10(4): 381-387. doi: 10.7507/1672-2531.20100415 復制

1.	Lavis JN, Oxman AD, Lewin S, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). Introduction. Health Res Policy Syst, 2009, 7(Suppl 1): I1.
2.	Lewin S, Oxman AD, Lavis JN, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 8. Deciding how much confidence to place in a systematic review. Health Res Policy Syst, 2009, 7(Suppl 1): S8.
3.	Lavis JN, Oxman AD, Souza NM, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 9. Assessing the applicability of the findings of a systematic review. Health Res Policy Syst, 2009, 7(Suppl 1): S9.
4.	Oxman AD, Lavis JN, Lewin S, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 10. Taking equity into consideration when assessing the findings of a systematic review. Health Res Policy Syst, 2009, 7(Suppl 1): S10.
5.	Lavis JN, Posada FB, Haines A, et al. Use of research to inform public policymaking. Lancet, 2004, 364: 1615-1621.
6.	Lavis JN, Davies HTO, Oxman A, et al. Towards systematic reviews that inform healthcare management and policymaking. J Health Serv Res Policy, 2005, 10: 35-48.
7.	Egger M, Smith GD, O’Rourke K. Rationale, potentials, and promise of systematic reviews. In Systematic Reviews in Health Care: Meta- Analysis in Context Edited by: Egger M, Smith GD, Altman DG. London: BMJ Books; 2001: 3-19.
8.	Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 5. Using research evidence to frame options to address a problem. Health Res Policy Syst, 2009, 7(Suppl 1): S5.
9.	Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 4. Using research evidence to clarify a problem. Health Res Policy Syst, 2009, 7(Suppl 1):S4.
10.	Dixon-Woods M, Agarwal S, Jones D, et al. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy, 2005, 10: 45-53.
11.	Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy- making in the health field. J Health Serv Res Policy, 2005, 10(Suppl 1): 6-20.
12.	Petticrew M. Systematic reviews from astronomy to zoology: myths and misconceptions. BMJ, 2001, 322: 98-101.
13.	Innvaer S, Vist G, Trommald M, et al. Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy, 2002, 7: 239-244.
14.	Lavis JN, Davies HT, Gruen RL, et al. Working within and beyond the Cochrane Collaboration to make systematic reviews more useful to healthcare managers and policy makers. Healthc Policy, 2006, 1: 21-33.
15.	Chopra M, Munro S, Lavis JN, et al. Effects of policy options for human resources for health: an analysis of systematic reviews. Lancet, 2008, 371: 668-674.
16.	Lavis JN, Permanand G, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst, 2009, 7(Suppl 1): S13.
17.	Lewin S, Oxman AD, Lavis JN, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 11. Finding and using research evidence about local conditions. Health Res Policy Syst, 2009, 7(Suppl 1): S11.
18.	Moher D, Tetzlaff J, Tricco AC, et al. Epidemiology and reporting characteristics of systematic reviews. PLoS Med, 2007, 4: e78.
19.	Montori VM, Wilczynski NL, Morgan D, et al. Optimal search strategies for retrieving systematic reviews from Medline: analytical survey. BMJ, 2005, 330: 68.
20.	Aaserud M, Austvoll-Dahlgren A, Sturm H, et al. Pharmaceutical policies: Effects of rational drug use, an overview of 13 reviews (Protocol). Cochrane Database of Systematic Reviews 2006.
21.	Lagarde M, Palmer N. Evidence From Systematic Reviews to Inform Decision Making Regarding Financing Mechanisms that Improve Access to Health Services for Poor People: A Policy Brief Prepared for the International Dialogue on Evidence-Informed Action to Achieve Health Goals in Developing Countries (IDEAHealth) 2006 [http://www.who.int/rpc/meetings/HealthFinancingBrief.pdf]. Geneva, World Health Organization.
22.	Grimshaw JM, Shirran L, Thomas R, et al. Changing provider behavior: an overview of systematic reviews of interventions. Med Care, 2001, 39: II2-45.

1. Lavis JN, Oxman AD, Lewin S, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). Introduction. Health Res Policy Syst, 2009, 7(Suppl 1): I1.
2. Lewin S, Oxman AD, Lavis JN, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 8. Deciding how much confidence to place in a systematic review. Health Res Policy Syst, 2009, 7(Suppl 1): S8.
3. Lavis JN, Oxman AD, Souza NM, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 9. Assessing the applicability of the findings of a systematic review. Health Res Policy Syst, 2009, 7(Suppl 1): S9.
4. Oxman AD, Lavis JN, Lewin S, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 10. Taking equity into consideration when assessing the findings of a systematic review. Health Res Policy Syst, 2009, 7(Suppl 1): S10.
5. Lavis JN, Posada FB, Haines A, et al. Use of research to inform public policymaking. Lancet, 2004, 364: 1615-1621.
6. Lavis JN, Davies HTO, Oxman A, et al. Towards systematic reviews that inform healthcare management and policymaking. J Health Serv Res Policy, 2005, 10: 35-48.
7. Egger M, Smith GD, O’Rourke K. Rationale, potentials, and promise of systematic reviews. In Systematic Reviews in Health Care: Meta- Analysis in Context Edited by: Egger M, Smith GD, Altman DG. London: BMJ Books; 2001: 3-19.
8. Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 5. Using research evidence to frame options to address a problem. Health Res Policy Syst, 2009, 7(Suppl 1): S5.
9. Lavis JN, Wilson MG, Oxman AD, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 4. Using research evidence to clarify a problem. Health Res Policy Syst, 2009, 7(Suppl 1):S4.
10. Dixon-Woods M, Agarwal S, Jones D, et al. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy, 2005, 10: 45-53.
11. Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy- making in the health field. J Health Serv Res Policy, 2005, 10(Suppl 1): 6-20.
12. Petticrew M. Systematic reviews from astronomy to zoology: myths and misconceptions. BMJ, 2001, 322: 98-101.
13. Innvaer S, Vist G, Trommald M, et al. Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy, 2002, 7: 239-244.
14. Lavis JN, Davies HT, Gruen RL, et al. Working within and beyond the Cochrane Collaboration to make systematic reviews more useful to healthcare managers and policy makers. Healthc Policy, 2006, 1: 21-33.
15. Chopra M, Munro S, Lavis JN, et al. Effects of policy options for human resources for health: an analysis of systematic reviews. Lancet, 2008, 371: 668-674.
16. Lavis JN, Permanand G, Oxman AD, et al. SUPPORT Tools for evidence-informed health Policymaking (STP). 13. Preparing and using policy briefs to support evidence-informed policymaking. Health Res Policy Syst, 2009, 7(Suppl 1): S13.
17. Lewin S, Oxman AD, Lavis JN, et al. SUPPORT Tools for evidenceinformed health Policymaking (STP). 11. Finding and using research evidence about local conditions. Health Res Policy Syst, 2009, 7(Suppl 1): S11.
18. Moher D, Tetzlaff J, Tricco AC, et al. Epidemiology and reporting characteristics of systematic reviews. PLoS Med, 2007, 4: e78.
19. Montori VM, Wilczynski NL, Morgan D, et al. Optimal search strategies for retrieving systematic reviews from Medline: analytical survey. BMJ, 2005, 330: 68.
20. Aaserud M, Austvoll-Dahlgren A, Sturm H, et al. Pharmaceutical policies: Effects of rational drug use, an overview of 13 reviews (Protocol). Cochrane Database of Systematic Reviews 2006.
21. Lagarde M, Palmer N. Evidence From Systematic Reviews to Inform Decision Making Regarding Financing Mechanisms that Improve Access to Health Services for Poor People: A Policy Brief Prepared for the International Dialogue on Evidence-Informed Action to Achieve Health Goals in Developing Countries (IDEAHealth) 2006 [http://www.who.int/rpc/meetings/HealthFinancingBrief.pdf]. Geneva, World Health Organization.
22. Grimshaw JM, Shirran L, Thomas R, et al. Changing provider behavior: an overview of systematic reviews of interventions. Med Care, 2001, 39: II2-45.

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知證衛生決策工具之七——查找系統評價*

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《中國循證醫學雜志》

知證衛生決策工具之七——查找系統評價*

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