弥合鸿沟:解决临床指南、政策指南和生物标记利用之间的差异。

IF 2.2 Q2 MEDICINE, GENERAL & INTERNAL
Diagnosis Pub Date : 2024-08-01 DOI:10.1515/dx-2024-0092
Denis Horgan, Paul Hofman, Reinhard Buttner, Olaf Rieß, Iwona Lugowska, France Dube, Jaya Singh, Ernest Nadal, Tomasz Stokłosa, Elīna Sīviņa, Marc Van der Buckle, Silvia Mosoiu, Luca Bertolaccini, Nicolas Girard, Jan Van Meerbeeck, Imran Omar, Ettore D Capoluongo, Stefan Bielack, Tanya Hills, David Baldwin, Vivek Subbiah
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引用次数: 0

摘要

目的:本文旨在找出并解决欧洲医疗服务机构在癌症治疗和诊断方面存在的差距,特别关注临床指南与政策指南之间的差异。本文旨在强调医学会推荐的先进诊断技术未得到充分利用是如何导致错失改善患者预后的机会的:方法:对欧洲多个国家进行了综合分析,以评估临床指南与先进诊断技术的遵从和整合情况。我们收集并分析了与癌症治疗的临床和政策指南相关的二手数据。研究了采用和利用新一代测序和液体活检的关键指标,以评估它们对医疗服务效率和患者护理的影响:结果:分析结果显示,医学会对先进诊断技术的建议与欧洲各国卫生政策决定对这些技术的采用之间存在巨大差异。针对具体国家的评估表明,临床指南与先进诊断技术的可用性之间的吻合程度各不相同。这些发现突出表明,通过更好地调整和整合临床指南与政策决策,优化患者护理和医疗服务效率的机会已经错过:本研究的结论是,卫生政策决策者亟需在资源分配和卫生服务组织中优先采用临床指南。更加重视医学会关于先进诊断技术的建议,可显著提高诊断准确性、治疗效果和癌症护理中患者的整体治疗效果。本文倡导进行政策改革,承认并利用先进诊断技术在改善整个欧洲的医疗服务绩效和以患者为中心的医疗服务方面的潜在优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bridging the divide: addressing discrepancies between clinical guidelines, policy guidelines, and biomarker utilization.

Objectives: This paper aims to identify and address gaps in cancer treatment and diagnosis within European health services, focusing specifically on discrepancies between clinical guidelines and policy guidelines. It seeks to highlight how the underutilization of advanced diagnostic techniques recommended by medical societies contributes to missed opportunities for improving patient outcomes.

Methods: A comprehensive analysis was conducted across multiple European countries to assess the compliance and integration of clinical guidelines with the availability of advanced diagnostic technologies. Secondary data related to clinical and policy guidelines in cancer care were collected and analyzed. Key indicators of adoption and utilization of next-generation sequencing and liquid biopsy were examined to evaluate their impact on health service efficiency and patient care.

Results: The analysis revealed significant discrepancies between the recommendations of medical societies regarding advanced diagnostic techniques and their adoption in health policy decisions across Europe. Country-specific assessments indicated varying levels of alignment between clinical guidelines and the availability of advanced diagnostics. These findings underscored missed opportunities for optimizing patient care and health service efficiency through better alignment and integration of clinical guidelines with policy decisions.

Conclusions: This study concludes that there is a critical need for health policy decision-makers to prioritize the adoption of clinical guidelines in resource allocation and health service organization. Greater attention to the recommendations of medical societies regarding advanced diagnostic techniques could significantly enhance diagnostic accuracy, treatment efficacy, and overall patient outcomes in cancer care. The paper advocates for policy reforms that acknowledge and leverage the potential benefits of advanced diagnostics in improving health service performance and patient-centered care across Europe.

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来源期刊
Diagnosis
Diagnosis MEDICINE, GENERAL & INTERNAL-
CiteScore
7.20
自引率
5.70%
发文量
41
期刊介绍: Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.  Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error
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