formulando recomendaciones implementables
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Formulando recomendaciones implementables
Andrew D. Oxman
Investigador, Unidad de Salud Global, Norwegian Institute of Public health
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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
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Large groups, different knowledge backgrounds
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Lots of complex information, little time, people often come poorly prepared
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Discussion and voting
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Individual voices may dominate
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Introduction of new information in the middle of the process
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Not everybody on same page at same time
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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
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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
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http://ietd.epistemonikos.org/
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Structure of the frameworks
• Question• Assessment• Conclusions
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Question
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Question
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Adaptation of recommendations and decisions to specific contexts
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Gracias!