Using reviews to inform decisions about health care – a patient perspective

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    Using reviews to inform decisions about health care – a patient perspective - Presentation Transcript

    1. Using reviews to inform decisions about health care – a patient perspective
    2. Using reviews to inform decisions about health care – a patient perspective
      • Gill Gyte
      • Antenatal Teacher, National Childbirth Trust
      • Consumer Panel Coordinator, Cochrane Pregnancy and Childbirth Group (PCG)
      • Consumer Coordinator, Cochrane Infectious Diseases Group
      • Cochrane Consumer Network
    3. A consumer perspective
      • Background
      • How consumers might use reviews, with personal examples from Pregnancy and Childbirth
      • Other experiences of consumers using reviews
      • A challenge for the Cochrane Collaboration
    4. Archie Cochrane
      • “ I believe that cure is rare while the need for care is widespread, and that the pursuit of cure at all costs may restrict the supply of care...”
      • Archie L Cochrane, 1972, p7
      • ‘ Effectiveness and Efficiency: Random Reflections on Health Services’
    5. Iain Chalmers
      • Unless we get the findings of Cochrane reviews to patients and consumers, we (The Cochrane Collaboration) will have failed.
    6. Chris Silagy
      • “ I am determined that no matter how much I trust my treating doctors, I want to be assured that the decisions we make together are based on as much evidence as is in existence at the time. I believe that is my fundamental right, and a right of others in a similar situation.”
      • Chris Silagy, 1960-2001
    7. Chris Silagy
      • “ I also believe it is my right to determine the value that I place on different outcomes, to express my own treatment preferences (and have these taken into account), and to feel that my treating doctors are prepared to respect my experiences as a valid and important input when we come to make decisions”
      •    Chris Silagy, 1960-2001
    8. Cochrane Systematic Reviews
    9. Consumers using Cochrane reviews
      • Consumers using Cochrane reviews in making decisions or shared decision making
      • Consumers in voluntary organisations/support groups disseminating information from Cochrane reviews to their consumers
      • Consumers on national panels/committees helping to make national guidelines and policies
    10. At an individual level
      • Routine iron tablets
      • Routine shaving the pubic hair in labour
      • Routine enema in labour
      • Routine 1 hour time limit for giving birth
      • Routine episiotomy
      • etc.
    11. At an individual level
      • Brazil
      • Mexico
      • Other low-income countries
    12. National Childbirth Trust
      • Information Sheets
      • Booklets
      • Evidence-based briefings
      • Antenatal classes
      • Breastfeeding support
      • Postnatal discussions
    13. National Childbirth Trust
      • Support in labour
      • Antenatal perineal massage
      • Duration of breastfeeding
      • etc.
    14. At a national policy level
      • National Institute of Clinical Excellence (NICE) guidelines:
      • e.g. EFM , IOL, CS , ANC ,
      • PNC, IPC
      • Government policies:
      • ‘ Maternity Matters’
    15. Evidence based obstetrics and women’s rights
      • Brazilian Social Movements for the Humanization of Birth
      • Parto do Principio’s Work – A Women’s Network for Active Maternity
      • The view of obstetric nurses from Brazil
      • Doulas and their activities in Brazil
      • Pregnancy and childbirth in Mexico’
      • Obstetric training, EBM and women’s rights
    16. Brazil
      • In 2005, Brazil passed a national law (11.108/05) to guarantee a companion of woman’s choice for every women in labor and delivery, based on the Cochrane systematic review on ‘Support in labour’.
    17. Mexico
      • Routine interventions in labour
      • Training of traditional birth attendants
    18. Many challenges
      • Reviews relevant to consumers - PCGCP
      • Information needs to be in an accessible form
      • Consumers need to trust the source
      • Cochrane reviews need to get to consumers
    19. Many challenges
      • Can the Cochrane Collaboration find a way for people to reach the evidence in Cochrane reviews through a Goggle search
    20. obrigada

    cmavergacmaverga, 2 years ago

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