formulando recomendaciones implementables
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Formulando recomendaciones implementables
Andrew D. Oxman
Investigador, Unidad de Salud Global, Norwegian Institute of Public health
A structured and transparent way toinform decisions in the context of clinical recommendations, coverage decisions, and health system or public health recommendations and decisions
– Purpose – Structure– Use Jornada Científica 2016
Frameworks for going from evidence to decisions
Large groups, different knowledge backgrounds
Lots of complex information, little time, people often come poorly prepared
Discussion and voting
Individual voices may dominate
Introduction of new information in the middle of the process
Not everybody on same page at same time
Purpose of EtD frameworks• Ensure that panels consider important
criteria for making a decision• Provide panels with a concise summary of
the best available evidence to inform their judgments about each criterion
• Inform judgements about the relative pros and cons of the interventions or options being considered
• Help panels structure discussion and identify reasons for disagreements, making the process and the basis for decisions structured and transparent
EtD frameworks assist users of recommendations by
• Enabling them to understand the judgments made by the panel and the evidence supporting those judgments
• Helping them to decide whether recommendations can and should be implemented in their own settings
• Facilitating adaptation of recommendations or decisions to specific contexts
http://ietd.epistemonikos.org/
Structure of the frameworks
• Question• Assessment• Conclusions
Question
Question
Adaptation of recommendations and decisions to specific contexts
Gracias!
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