An evidence-based care program in a local healthcare setting in Brazil : Experience and impact
Rocha-Filho, C.R. (BP ‒ A Beneficência Portuguesa de São Paulo (NATS BP))
Reis, F.S.d.A. (BP ‒ A Beneficência Portuguesa de São Paulo)
Pereira da Rocha, Aline (Cochrane Brazil)
Pereira Nunes Pinto, Ana Carolina (Institut de Recerca Sant Pau)
Ciconelli, R.M. (BP ‒ A Beneficência Portuguesa de São Paulo (NATS BP))
Universitat Autònoma de Barcelona

Data:	2025
Resum:	Objective: To provide an overview of the activities and impact of an Evidence-Based Care Program (EBCP) on professionals' decision-making in a large hospital located in São Paulo, Brazil. Methods: Retrospective descriptive analysis of a hospital EBCP's database (covering a 40-month period), involving data from the studies conducted and an online feedback survey. Results: Since its inception, the EBCP performed 95 scientific technical reports, including 55 Rapid Systematic Reviews (RSR) and 40 Literature Reviews (LR). The authors identified 21 review topics, with the 3 most common being inpatients (n = 20), oncology (n = 11), and surgical procedure (n = 9). The 3 most common technologies assessed were medical devices (n = 28), drugs (n = 27), and scale/questionnaire (n = 16). Studies were mainly used to update policy or procedure (n = 59), support scientific research (n = 10), support clinical program development (n = 8), provide clinical guidance (n = 7), or as a communication tool (n = 5). Among the requestors who responded to the feedback survey (76/95), 97 % agreed or strongly agreed that they were satisfied with the review delivered, and 100 % indicated that they likely would request a review in the future and would indicate the EBCP to a coworker. Among the RSR responders (51/55), 94 % agreed or strongly agreed that the EBCP work informed their project or final decision, and 32 % reported that the result presented changed their perspective about the technology assessed. Conclusion: Employing evidence-based methodology, the program provided timely and pertinent evidence for local decision-making. Health professionals who utilized the EBPC expressed high satisfaction with the process and reported a positive shift in their decision-making.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Clinical decision-making ; Evidence-based practice ; Health technology assessment ; Rapid review
Publicat a:	Clinics, Vol. 80 (january 2025) , p. 100640, ISSN 1980-5322

DOI: 10.1016/j.clinsp.2025.100640
PMID: 40245788

5 p, 1.1 MB

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