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1.
J Public Health (Oxf) ; 44(2): e249-e251, 2022 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-33783523

RESUMO

This article focuses on how the National Institute for Health and Care Excellence (NICE) quality standard on 'Community engagement: improving health and wellbeing' (QS148) may be used to support local areas with pandemic recovery planning. This article sets the standard in the context of the coronavirus pandemic, explores some of its content and highlights additional NICE resources to support its use across the health and care system.


Assuntos
COVID-19 , Saúde Pública , Humanos , Qualidade da Assistência à Saúde
3.
J Public Health (Oxf) ; 42(4): 857-860, 2020 11 23.
Artigo em Inglês | MEDLINE | ID: mdl-31884519

RESUMO

This article covers recently published National Institute for Health and Care Excellence (NICE) guidance relevant to public health and a review of evidence published since we released the NICE guidance on unintentional injury prevention in under 15 year olds. The article features some of this evidence that was found to reinforce published recommendations on safety in the home and on the roads, indicating the guidance remains up to date and relevant. In addition, it importantly highlights that there is great opportunity to prevent future unintentional injury through integrated and coordinated, evidence and intelligence-informed approaches.


Assuntos
Saúde Pública , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Reino Unido
4.
J Eval Clin Pract ; 25(6): 1027-1029, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31290202

RESUMO

NICE's guideline on shared decision making, currently under development, endeavours to support shared decision making as part of routine health care practice. In this article, we summarize our learning to date, gained through the scoping of the guideline, on the key challenges that need to be addressed in the guideline. The production of a scope is the first stage in the development of a NICE guideline, setting the parameters for what will be considered in the guideline. The process for scoping the shared decision making guideline involved discussion with early recruited committee members and engagement with registered stakeholders, through both a workshop and formal consultation. Important, and sometimes divergent, viewpoints about shared decision making were revealed through this process. The key challenges centred on the issues of a need for a common definition of shared decision making, measurability, opportunities, barriers to implementation, and feasibility. Recognizing these challenges aided the refinement of the scope in terms of what the guideline will cover, draft questions and main outcomes for consideration.


Assuntos
Tomada de Decisão Compartilhada , Atenção à Saúde , Direitos do Paciente , Assistência Centrada no Paciente , Guias de Prática Clínica como Assunto , Barreiras de Comunicação , Atenção à Saúde/ética , Atenção à Saúde/normas , Humanos , Avaliação das Necessidades , Avaliação de Resultados em Cuidados de Saúde , Assistência Centrada no Paciente/ética , Assistência Centrada no Paciente/métodos , Participação dos Interessados , Reino Unido
5.
Res Synth Methods ; 9(3): 470-488, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29956486

RESUMO

Screening references is a time-consuming step necessary for systematic reviews and guideline development. Previous studies have shown that human effort can be reduced by using machine learning software to prioritise large reference collections such that most of the relevant references are identified before screening is completed. We describe and evaluate RobotAnalyst, a Web-based software system that combines text-mining and machine learning algorithms for organising references by their content and actively prioritising them based on a relevancy classification model trained and updated throughout the process. We report an evaluation over 22 reference collections (most are related to public health topics) screened using RobotAnalyst with a total of 43 610 abstract-level decisions. The number of references that needed to be screened to identify 95% of the abstract-level inclusions for the evidence review was reduced on 19 of the 22 collections. Significant gains over random sampling were achieved for all reviews conducted with active prioritisation, as compared with only two of five when prioritisation was not used. RobotAnalyst's descriptive clustering and topic modelling functionalities were also evaluated by public health analysts. Descriptive clustering provided more coherent organisation than topic modelling, and the content of the clusters was apparent to the users across a varying number of clusters. This is the first large-scale study using technology-assisted screening to perform new reviews, and the positive results provide empirical evidence that RobotAnalyst can accelerate the identification of relevant studies. The results also highlight the issue of user complacency and the need for a stopping criterion to realise the work savings.


Assuntos
Interpretação Estatística de Dados , Mineração de Dados/métodos , Aprendizado de Máquina , Literatura de Revisão como Assunto , Software , Algoritmos , Análise por Conglomerados , Humanos , Reprodutibilidade dos Testes , Estudos Retrospectivos , Suíça
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