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The Map of Medicine: a review of evidence for its impact on healthcare.

机译:医学地图:对其对医疗保健影响的证据综述。

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OBJECTIVES: Map of Medicine is an evidence-based online clinical knowledge resource. Procured at significant cost by healthcare providers in the UK, Sweden and Denmark, it is important to establish the beneficial impact that investment has had on healthcare practise and, ultimately, on patient outcomes. The objective of this study is to review the evidence for the impact of the Map of Medicine on clinical practice. METHODS: A systematic review of peer-reviewed and grey literature was conducted. Nine healthcare databases, Google Scholar and Google were searched for articles containing the terms 'map of medicine'. RESULTS: The search identified 133 articles. Eleven of the articles identified met the inclusion criteria. The main finding of the study is the paucity of evidence available on the impact of the Map of Medicine and the variable quality of that which does exist. There are some encouraging early indications for the Map of Medicine as a tool within service redesign, leading to an increase in appropriate referrals to secondary care, decreased patient waiting times and considerable cost savings. CONCLUSION: Further research with study designs that can generate high quality evidence for the impact of Map of Medicine is essential in order to support policy decisions.
机译:目的:医学地图是基于证据的在线临床知识资源。由英国,瑞典和丹麦的医疗保健提供者以高昂的价格采购,因此,建立投资对医疗保健实践以及最终对患者结局产生的有益影响非常重要。这项研究的目的是审查医学地图对临床实践影响的证据。方法:对同行评审的灰色文献进行了系统的综述。在9个医疗保健数据库,Google Scholar和Google中搜索了包含“医学地图”一词的文章。结果:搜索确定133篇文章。确定的文章中有11个符合纳入标准。这项研究的主要发现是,关于《医学地图》的影响及其存在的可变质量的证据很少。有一些令人鼓舞的早期迹象表明,将《医学地图》用作服务重新设计中的一种工具,从而导致对二级保健的适当转诊增加,减少了患者的等待时间并节省了大量成本。结论:为了支持政策决策,必须对研究设计进行进一步的研究,这些研究设计可以为医学地图的影响提供高质量的证据。

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