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Rapid evidence synthesis to enable innovation and adoption in health and social care
BACKGROUND: The rapid identification and adoption of effective innovations in healthcare is a known challenge. The strongest evidence base for innovations can be provided by evidence synthesis, but this is frequently a lengthy process and even rapid versions of this can be time-consuming and complex...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682764/ https://www.ncbi.nlm.nih.gov/pubmed/36419199 http://dx.doi.org/10.1186/s13643-022-02106-z |
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author | Norman, Gill Wilson, Paul Dumville, Jo Bower, Peter Cullum, Nicky |
author_facet | Norman, Gill Wilson, Paul Dumville, Jo Bower, Peter Cullum, Nicky |
author_sort | Norman, Gill |
collection | PubMed |
description | BACKGROUND: The rapid identification and adoption of effective innovations in healthcare is a known challenge. The strongest evidence base for innovations can be provided by evidence synthesis, but this is frequently a lengthy process and even rapid versions of this can be time-consuming and complex. In the UK, the Accelerated Access Review and Academic Health Science Network (AHSN) have provided the impetus to develop a consistently rapid process to support the identification and adoption of high-value innovations in the English NHS. METHODS: The Greater Manchester Applied Research Collaboration (ARC-GM) developed a framework for a rapid evidence synthesis (RES) approach, which is highly integrated within the innovation process of the Greater Manchester AHSN and the associated healthcare and research ecosystem. The RES uses evidence synthesis approaches and draws on the GRADE Evidence to Decision framework to provide rapid assessments of the existing evidence and its relevance to specific decision problems. We implemented this in a real-time context of decision-making around adoption of innovative health technologies. RESULTS: Key stakeholders in the Greater Manchester decision-making process for healthcare innovations have found that our approach is both timely and flexible; it is valued for its combination of rigour and speed. Our RES approach rapidly and systematically identifies, appraises and contextualises relevant evidence, which can then be transparently incorporated into decisions about the wider adoption of innovations. The RES also identifies limitations in existing evidence for innovations and this can inform subsequent evaluations. There is substantial interest from other ARCs and AHSNs in implementing a similar process. We are currently exploring methods to make completed RES publicly available. We are also exploring methods to evaluate the impact of using RES as more implementation decisions are made. CONCLUSIONS: The RES framework we have implemented combines transparency and consistency with flexibility and rapidity. It therefore maximises utility in a real-time decision-making context for healthcare innovations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-022-02106-z. |
format | Online Article Text |
id | pubmed-9682764 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96827642022-11-24 Rapid evidence synthesis to enable innovation and adoption in health and social care Norman, Gill Wilson, Paul Dumville, Jo Bower, Peter Cullum, Nicky Syst Rev Methodology BACKGROUND: The rapid identification and adoption of effective innovations in healthcare is a known challenge. The strongest evidence base for innovations can be provided by evidence synthesis, but this is frequently a lengthy process and even rapid versions of this can be time-consuming and complex. In the UK, the Accelerated Access Review and Academic Health Science Network (AHSN) have provided the impetus to develop a consistently rapid process to support the identification and adoption of high-value innovations in the English NHS. METHODS: The Greater Manchester Applied Research Collaboration (ARC-GM) developed a framework for a rapid evidence synthesis (RES) approach, which is highly integrated within the innovation process of the Greater Manchester AHSN and the associated healthcare and research ecosystem. The RES uses evidence synthesis approaches and draws on the GRADE Evidence to Decision framework to provide rapid assessments of the existing evidence and its relevance to specific decision problems. We implemented this in a real-time context of decision-making around adoption of innovative health technologies. RESULTS: Key stakeholders in the Greater Manchester decision-making process for healthcare innovations have found that our approach is both timely and flexible; it is valued for its combination of rigour and speed. Our RES approach rapidly and systematically identifies, appraises and contextualises relevant evidence, which can then be transparently incorporated into decisions about the wider adoption of innovations. The RES also identifies limitations in existing evidence for innovations and this can inform subsequent evaluations. There is substantial interest from other ARCs and AHSNs in implementing a similar process. We are currently exploring methods to make completed RES publicly available. We are also exploring methods to evaluate the impact of using RES as more implementation decisions are made. CONCLUSIONS: The RES framework we have implemented combines transparency and consistency with flexibility and rapidity. It therefore maximises utility in a real-time decision-making context for healthcare innovations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-022-02106-z. BioMed Central 2022-11-23 /pmc/articles/PMC9682764/ /pubmed/36419199 http://dx.doi.org/10.1186/s13643-022-02106-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Methodology Norman, Gill Wilson, Paul Dumville, Jo Bower, Peter Cullum, Nicky Rapid evidence synthesis to enable innovation and adoption in health and social care |
title | Rapid evidence synthesis to enable innovation and adoption in health and social care |
title_full | Rapid evidence synthesis to enable innovation and adoption in health and social care |
title_fullStr | Rapid evidence synthesis to enable innovation and adoption in health and social care |
title_full_unstemmed | Rapid evidence synthesis to enable innovation and adoption in health and social care |
title_short | Rapid evidence synthesis to enable innovation and adoption in health and social care |
title_sort | rapid evidence synthesis to enable innovation and adoption in health and social care |
topic | Methodology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9682764/ https://www.ncbi.nlm.nih.gov/pubmed/36419199 http://dx.doi.org/10.1186/s13643-022-02106-z |
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