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| 1 | 帕博利珠单抗单用或与放疗联用治疗转移性非小细胞肺癌:两个随机试验的汇总分析显示文摘背景放疗可以提高整个机体对免疫治疗的应答。在Ⅱ期PEMBRO-RT研究和Ⅰ/Ⅱ期MDACC研究中,患有转移性非小细胞肺癌(NSCLC)的患者被随机分配入组,接受免疫治疗(帕博利珠单抗)+放疗联合疗法,或免疫治疗单一疗法。当上述2个研究单独分析时,联合疗法组显示出潜在获益。由于每个研究的样本量较小,缓解率和结局并未显示出统计学意义,然而却有显著的临床获益。因此,本研究进行汇总分析,来判断放疗是否会改善转移性NSCLC患者的免疫治疗应答。方法PEMBRO-RT和MDACC研究纳入标准:患者年龄≥18岁,患有转移性NSCLC,且有≥1处未经放疗照射的病灶,以便进行射野外应答监测。PEMBRO-RT研究纳入曾接受过化疗患者,MDACC研究纳入曾接受过治疗或新诊断患者。2个研究中的患者均未接受过免疫治疗。在PEMBRO-RT研究中患者被等比例随机分配入组,并根据吸烟状态进行分层(分为<10年组和≥10年组)。MDACC研究的患者根据放疗计划可行性被等比例随机分配入2个受试组。由于联合治疗组的干预本质,每个研究中的放疗均不适用盲法。在2个研究中,不论是否进行放疗,均静脉滴入帕博利珠单抗(每3周200 mg)。在PEMBRO-RT研究中,在放疗(24 Gy 3次分割照射)结束后1周给予第1剂帕博利珠单抗。在MDACC研究中,在第1次放疗(50 Gy 4次分割照射或45 Gy 15次分割照射)同时给予帕博利珠单抗。仅检测未经照射病灶的应答。本研究的终点为最佳射野外(远隔)应答率(ARR)、最佳射野外疾病控制率(ACR)、12周时ARR、12周时ACR、无进展生存期(PFS)和总生存期(OS)。2个研究的意向治疗(ITT)人群均纳入分析。PEMBRO-RT研究(NCT02492568)和MDACC研究(NCT02444741)均在ClinicalTrials.gov上注册。发现纳入148例患者,76例接受帕博利珠单抗治疗,72例接受帕博利珠单抗+放疗治疗。所有患者随访时间中位数为33个月[四分位距(IQR):32.4~33.6]。148例患者中124例(84%)组织学特征为非鳞癌,111例(75%)患者曾经接受过化疗。组间没有基线特征差异,包括PD-L1表达状态和转移灶体积。最常见的照射部位为肺转移灶(39%,28/72)、胸腔内淋巴结(21%,15/72)和非原发灶(17%,12/72)。帕博利珠单抗组和联合治疗组的最佳ARR分别为19.7%(15/76)和41.7%(30/72),OR=2.96,95%CI:1.42~6.20,P=0.0039;最佳ACR分别为43.4%(33/76)和65.3%(47/72),OR=2.51,95%CI:1.28~4.91,P=0.0071;PFS中位数分别为4.4(IQR:2.9~5.9)和9.0个月(IQR:6.8~11.2),HR=0.67,95%CI:0.45~0.99,P=0.045;OS中位数分别为8.7(IQR:6.4~11.0)和19.2个月(IQR:14.6~23.8),OR=0.67,95%CI:0.54~0.84,P=0.0004。在汇总分析中没有发现新的安全问题。解读帕博利珠单抗免疫疗法+放疗显著提高转移性NSCLC患者的应答和改善治疗结局。这些结果需要在三期临床试验中进行验证。 | 陈大卫(翻译) 于金明(校对) Willemijn S M E Theelen Vivek Verma Brian P Hobbs Heike M U Peulen Joachim G J V Aerts Idris Bahce Anna Larissa N Niemeijer Joe Y Chang Patricia M de Groot Quynh-Nhu Nguyen Nathan I Comeaux George R Simon Ferdinandos Skoulidis Steven H Lin Kewen He Roshal Patel John Heymach Paul Baas James W Welsh | 2021 | 中华肿瘤防治杂志2021,28,24: | 49 |
| 2 | 中国两栖动物保护需求总述显示文摘通过对中国两栖动物物种生物多样性现状的全面分析,与世界许多国家相比,中国是一个重要的全球优先保护地区.横断山区、南岭山区和武夷山区3个区域的两栖动物物种多样性特别丰富.有尾两栖类物种较无尾类受胁程度更高.几个物种数相对较少的铃蟾科、隐腮鲵科、小鲵科和蝾螈科显示出了高的受胁倾向.像世界其它地方一样,高海拔地区溪流繁殖的森林物种受胁程度更高.对中国两栖动物而言,生境丧失、污染和过度捕捉是最主要的致危因素.过度捕捉虽然影响不如生境丧失深远,但它更可能导致一个物种种群的快速衰落.针对5个方面的保护挑战,提出了优先研究领域和保护行动方面的建议. | 谢锋 刘惠宁 Simon N Stuart Janice S Chanson Neil A Cox Debra L Fischman | 2006 | 中国科学(C辑)2006,36,6: | 28 |
| 3 | Conservation needs of amphibians in China: A review显示文摘The conservation status of all the amphibians in China is analyzed,and the country is shown to be a global priority for conservation in comparison to many other countries of the world.Three Chinese regions are particularly rich in amphibian diversity:Hengduan,Nanling,and Wuyi mountains.Sala-manders are more threatened than frogs and toads.Several smaller families show a high propensity to become seriously threatened:Bombinatoridae,Cryptobranchidae,Hynobiidae and Salamandridae.Like other parts of the world,stream-breeding,high-elevation forest amphibians have a much higher likeli-hood of being seriously threatened.Habitat loss,pollution,and over-harvesting are the most serious threats to Chinese amphibians.Over-harvesting is a less pervasive threat than habitat loss,but it is more likely to drive a species into rapid decline.Five conservation challenges are mentioned with recommendations for the highest priority research and conservation actions. | Michael Wai Neng LAU Simon N STUART Janice S CHANSON Neil A COX Debra L FISCHMAN | 2007 | Science China(Life Sciences)2007,50,2: | 12 |
| 4 | 新生儿复苏培训降低新生儿死亡率的效能分析:文献综述,meta分析与Delphi法的应用显示文摘[背景]全球每年13600万新生儿中,约1000万需要外界的帮助才能建立自主呼吸,每年有约814000例新生儿死亡是由分娩相关足月儿死亡(以往定义为'出生窒息')所导致的。目前尚缺乏关于新生儿复苏培训降低新生儿死亡率效能的系统性评价。[目的]对在医院和社区层面开展的快速评估及初步刺激、基本的复苏措施这两种新生儿复苏培训干预方法在降低足月新生儿分娩相关死亡率('出生窒息')、早产相关并发症死亡率这两个生命指标方面的效能进行评价。[方法]采用系统综述的方法,检索并筛选符合标准的新生儿复苏培训研究文献。采用GRADE方法对文献的质量进行评价。对符合要求的文件进行Meta分析。对数据质量较低的文献采用专家咨询法估计效能大小。[结果]通过文献检索筛选了24篇新生儿复苏培训干预研究(20篇观察性研究,2篇半试验研究,2篇随机对照研究)。对其中3篇文献进行Meta分析结果显示,以医院为基础的新生儿复苏培训可使分娩相关足月儿死亡降低30%(RR=0.70,95%CI0.59~0.84);文献中涉及早产儿死亡率效能的数据质量不高,因此采用专家咨询法进行估计。以社区为基础的新生儿复苏培训干预研究具有较高的异质性,复苏培训通常是一系列培训包的一部分,且对早产儿和足月儿的定义标准不一致。专家咨询法估计结果显示,新生儿快速评估和初步刺激可使分娩相关新生儿死亡、早产儿死亡均降低10%;以医院为基础的培训可使早产儿死亡进一步降低10%,以社区为基础的培训可使分娩相关足月儿死亡率进一步降低20%,早产儿死亡率进一步降低5%。[结论]新生儿复苏培训在医院层面可以使足月新生儿分娩相关死亡率降低30%,然而中低收入水平的国家培训覆盖率仍较低。专家咨询法估计新生儿复苏培训在社区层面降低足月儿及早产儿死亡率的效能较小。需要对新生儿复苏培训的效果、成本、实施策略等进行更深入的研究与评价。 | Anne CC Lee Simon Cousens Stephen N Wall 徐韬 | 2012 | 中国妇幼卫生杂志2012,3,2: | 11 |
| 5 | Hepatic steatosis and fibrosis: Non-invasive assessment显示文摘Chronic liver disease is a major cause of morbidity and mortality worldwide and usually develops over many years, as a result of chronic inflammation and scarring, resulting in end-stage liver disease and its complications. The progression of disease is characterised by ongoing inflammation and consequent fibrosis, although hepatic steatosis is increasingly being recognised as an important pathological feature of disease, rather than being simply an innocent bystander. However, the current gold standard method of quantifying and staging liver disease, histological analysis by liver biopsy, has several limitations and can have associated morbidity and even mortality. Therefore, there is a clear need for safe and noninvasive assessment modalities to determine hepatic steatosis, inflammation and fibrosis. This review covers key mechanisms and the importance of fibrosis and steatosis in the progression of liver disease. We address non-invasive imaging and blood biomarker assessments that can be used as an alternative to information gained on liver biopsy. | Rustam N Karanjia Mary ME Crossey I Jane Cox Haddy KS Fye Ramou Njie Robert D Goldin Simon D Taylor-Robinson | 2016 | World Journal of Gastroenterology2016,22,45: | 6 |
| 6 | 血浆游离DNA水平增高可作为预测重型颅脑损伤患者死亡率的独立指标(英文)显示文摘Trauma is the leading cause of death under 45 years worldwide and up to 50% of trauma fatalities are due to brain injury.Prediction of outcome is one of the major problems associated with severe TBI and research efforts have focused on the investigation of biomarkers with prognostic value following TBI. Therefore,our aim was to investigate whether cell-free DNA concentrations correlated to short-term primary outcome( survivor or death) and GCS scores following severe TBI. A total of 188 victims of severe TBI were enrolled in this prospective study,outcome variables comprised: survival and neurological assessment using the GCS at ICU discharge. Control blood samples were obtained from 25 healthy volunteers. Peripheral venous blood was collected at admission in the ICU. Plasma DNA was measured using a real-time quantitative PCR assay for the β-globin gene. There was correlation between higher DNA levels and both fatal outcome and lower hospital admission GCS scores. Plasma DNA concentrations at the chosen cut- off point( ≥171,381 kilogenomesequivalents /L) predicted mortality with a specificity of 90% and a sensitivity of 43%. Logistic regression analysis showed that elevated plasma DNA levels were independently associated with death( P < 0. 001). In conclusion,high cell-free DNA concentration was a predictor of short-term mortality following severe TBI. | Rodrigues Filho EM1 Simon D Ikuta N Klovan C Dannebrock F de Oliveira CO Regner A | 2014 | 中华神经外科疾病研究杂志2014,13,3: | 6 |
| 7 | Machine learning in orthopaedic surgery显示文摘Artificial intelligence and machine learning in orthopaedic surgery has gained mass interest over the last decade or so.In prior studies,researchers have demonstrated that machine learning in orthopaedics can be used for different applications such as fracture detection,bone tumor diagnosis,detecting hip implant mechanical loosening,and grading osteoarthritis.As time goes on,the utility of artificial intelligence and machine learning algorithms,such as deep learning,continues to grow and expand in orthopaedic surgery.The purpose of this review is to provide an understanding of the concepts of machine learning and a background of current and future orthopaedic applications of machine learning in risk assessment,outcomes assessment,imaging,and basic science fields.In most cases,machine learning has proven to be just as effective,if not more effective,than prior methods such as logistic regression in assessment and prediction.With the help of deep learning algorithms,such as artificial neural networks and convolutional neural networks,artificial intelligence in orthopaedics has been able to improve diagnostic accuracy and speed,flag the most critical and urgent patients for immediate attention,reduce the amount of human error,reduce the strain on medical professionals,and improve care.Because machine learning has shown diagnostic and prognostic uses in orthopaedic surgery,physicians should continue to research these techniques and be trained to use these methods effectively in order to improve orthopaedic treatment. | Simon P Lalehzarian Anirudh K Gowd Joseph N Liu | 2021 | World Journal of Orthopedics2021,12,9: | 4 |
| 8 | 知证卫生决策工具之一--什么是知证决策显示文摘本文讨论以下3个问题:①什么是证据?②研究证据在知证卫生决策中有何作用?③什么是知证决策?知证卫生决策是一种决策方法,旨在保证基于最佳可及的研究证据做出决策。知证决策的特点是将系统、透明地获取和评价证据的方法引入决策全过程。虽不要求制定政策的整个过程系统和透明,但在制定政策的全过程,采用系统的步骤可以确保合理地查找、评价和使用相关研究。过程透明化旨在确保他人可以检查什么样的研究证据被用于支持决策并评价证据及其意义。知证决策帮助政策制定者了解这些过程。 | Andrew D Oxman John N Lavis Simon Lewin Atle Fretheim 李媛媛 蒋兰慧 王莉 李幼平 | 2010 | 中国循证医学杂志2010,10,3: | 4 |
| 9 | Second European evidence-based consensus on the diagnosis and management of ulcerative colitis: Special situations显示文摘 | Gert Van Assche Axel Dignass Bernd Bokemeyer Silvio Danese Paolo Gionchetti Gabriele Moser Laurent Beaugerie Fernando Gomollón Winfried H?user Klaus Herrlinger Bas Oldenburg Julian Panes Francisco Portela Gerhard Rogler Jürgen Stein Herbert Tilg Simon Tra | 2012 | Journal of Crohn’s and Colitis2012,,: | 4 |
| 10 | California Simulation of Evapotranspiration of Applied Water and Agricultural Energy Use in California显示文摘The California Simulation of Evapotranspiration of Applied Water (Cal-SIMETAW) model is a new tool developed by the California Department of Water Resources and the University of California, Davis to perform daily soil water balance and determine crop evapotranspiration (ET c ), evapotranspiration of applied water (ET aw ), and applied water (AW) for use in California water resources planning. ET aw is a seasonal estimate of the water needed to irrigate a crop assuming 100% irrigation efficiency. The model accounts for soils, crop coefficients, rooting depths, seepage, etc. that influence crop water balance. It provides spatial soil and climate information and it uses historical crop and land-use category information to provide seasonal water balance estimates by combinations of detailed analysis unit and county (DAU/County) over California. The result is a large data base of ET c and ET aw that will be used to update information in the new California Water Plan (CWP). The application uses the daily climate data, i.e., maximum (T x ) and minimum (T n ) temperature and precipitation (P cp ), which were derived from monthly USDA-NRCS PRISM data (PRISM Group 2011) and daily US National Climate Data Center (NCDC) climate station data to cover California on a 4 km×4 km change grid spacing. The application uses daily weather data to determine reference evapotranspiration (ET o ), using the Hargreaves-Samani (HS) equation (Hargreaves and Samani 1982, 1985). Because the HS equation is based on temperature only, ET o from the HS equation were compared with CIMIS ET o at the same locations using available CIMIS data to determine correction factors to estimate CIMIS ET o from the HS ET o to account for spatial climate differences. Cal-SIMETAW also employs near real-time reference evapotranspiration (ET o ) information from Spatial CIMIS, which is a model that combines weather station data and remote sensing to provide a grid of ET o information. A second database containing the available soil water holding capacity and soil depth information for all of California was also developed from the USDA-NRCS SSURGO database. The Cal-SIMETAW program also has the ability to generate daily weather data from monthly mean values for use in studying climate change scenarios and their possible impacts on water demand in the state. The key objective of this project is to improve the accuracy of water use estimates for the California Water Plan (CWP), which provides a comprehensive report on water supply, demand, and management in California. In this paper, we will discuss the model and how it determines ET aw for use in water resources planning. | Morteza N Orang Richard L Snyder Shu Geng Quinn J Hart Sara Sarreshteh Matthias Falk Dylan Beaudette Scott Hayes Simon Eching | 2013 | Journal of Integrative Agriculture2013,12,8: | 3 |
| 11 | TIPS for Budd-Chiari Syndrome: Long-Term Results and Prognostics Factors in 124 Patients显示文摘 | Juan Carlos Garcia–Pagán Mathis Heydtmann Sebastian Raffa Aurélie Plessier Sarwa Murad Federica Fabris Giovanni Vizzini Juan Gonzales Abraldes Simon Olliff Antonio Nicolini Angelo Luca Massimo Primignani Harry L.A. Janssen Dominique Valla Elwyn Elias Jaum | 2008 | Gastroenterology2008,,3: | 3 |
| 12 | Tumor suppressor ASXL1 is essential for the activation of INK4B expression in response to oncogene activity and anti-proliferative signals显示文摘ASXL1 变化经常在 hematological 肿瘤被发现,并且 Asxl1 的损失在老鼠支持 myeloid 转变。这里我们在 vivo 在在 Histone H2A (H2AK119ub1 ) 上的 mono-ubiquitylated 离氨酸 119 的 deubiquitylation 为 ASXL1-BAP1 建筑群支持一个角色的现在的数据。Polycomb 组蛋白质在正常开发期间控制 INK4B-ARF-INK4A 地点的表达式,部分地通过催化 H2AK119 的 mono-ubiquitylation。自从地点的激活, INK4B-ARF-INK4A 玩一设有自动保险装置机制免于 tumorigenesis,我们调查了 ASXL1 依赖的 H2A deubiquitylation 是否在它的激活起一个作用。有趣地,我们发现 ASXL1 明确地为 p15 响应 oncogenic 发信号和外来的 anti-proliferative 的 INK4B 发信号。因为我们发现 ASXL1 和 BAP1 两个都在 INK4B 地点被充实,我们的结果建议 INK4B 地点的激活要求 H2AK119ub1 的 ASXL1/BAP1-mediated deubiquitylation。一致地,我们 ASXL1 变化与被联系的结果表演降低 p15 INK4B 和在主要骨头髓房间的造血的祖先的一个 proliferative 优点,和在多重房间线的 ASXL1 的那弄空导致抵抗到生长禁止的信号。一起拿,这研究连接 INK4B 表示的调停 ASXL1 的 H2A deubiquitylation 和 transcriptional 激活到它的肿瘤 suppressor 函数。 | Xudong Wu Ida Holst Bekker-Jensen Jesper Christensen Kasper Dindler Rasmussen Simone Sidoli Yan Qi Yu Kong Xi Wang Yajuan Cui Zhijian Xiao Guogang Xu Kristine Williams Juri Rappsilber Casper Kaae Sonderby Ole Winther Ole N Jensens Kristian Helin | 2015 | Cell Research2015,25,11: | 3 |
| 13 | Long-Term Follow-Up of Biopsy-Proven Viral Myocarditis显示文摘 | Stefan Grün Julia Schumm Simon Greulich Anja Wagner Steffen Schneider Oliver Bruder Eva-Maria Kispert Stephan Hill Peter Ong Karin Klingel Reinhardt Kandolf Udo Sechtem Heiko Mahrholdt | 2012 | Journal of the American College of Cardiology2012,,18: | 2 |
| 14 | Anisotropic Gaussian Schell-model beams: passage through optical systems and associated invariants显示文摘 | Simon R Sudarshan E C G Mukunda N | 1985 | Phys Rev A1985,46,4: | 2 |
| 15 | 知证卫生决策工具--导论显示文摘了解如何查找和使用研究证据可以帮助政策制定者及其决策支持者们更优质高效地工作。本系列的每篇文章各推荐一种方法,政策制定者及其决策支持者们可采用这些方法查找和使用证据进行知证卫生决策。本系列文章涉及四个宽泛领域:①支持知证决策;②确定政策制定三个阶段的证据需求,这三个阶段包括:明确问题、拟订方案和制订实施计划;③寻找并评价这三阶段所需证据,包括系统评价和其它类型证据;④根据研究证据进行决策。每篇文章都由1~3个与主题相关的案例情景引出,用于帮助读者在使用SUPPORT工具时判断自己所属的情况。本系列绝大部分文章都以结构化提出系列问题的方式,引导读者了解推荐工具,并展示如何采取措施更优质高效地支持知证决策。这些措施包括:利用研究证据明确问题;评价针对该问题所选系统评价中结果的适用性;组织和开展政策对话以支持知证决策;制定政策监测和评估计划。部分文章所提出的问题对如何支持知证决策提供了更通用的指导,每篇文章后面还附有其他相关信息资源。评估支持知证卫生决策方法是一个正在发展的领域,欢迎读者对怎样改进本系列文章提供反馈信息。 | John N Lavis Andrew D Oxman Simon Lewin Atle Fretheim 沈建通 蒋兰慧 王莉 李幼平 | 2010 | 中国循证医学杂志2010,10,3: | 2 |
| 16 | Use of APHRODITE Rain Gauge-Based Precipitation and TRMM 3B43 Products for Improving Asian Monsoon Seasonal Precipitation Forecasts by the Superensemble Method显示文摘 | Yatagai Akiyo Krishnamurti T N Kumar Vinay Mishra A K Simon Anu | 2014 | Journal of Climate2014,,3: | 2 |
| 17 | 知证卫生决策工具之三--设定优先顺序支持知证决策显示文摘决策者开展或支持知证决策与项目的资源有限。所需资源包括员工的工作时间、员工开展工作的基础设施(如电子图书馆的使用权限或购买期刊文章)和不断更新专业知识。决策者们也许更愿意将这样的工作承包给具备恰当技能和设施的独立机构,但决策者的资金有限。不管为知证决策提供的支持来自外部还是内部,是集中还是分散,资源都需要合理最大化利用。不恰当设定优先次序的例子包括:①采取逐个评价个案的方式支持知证决策制定时间进度表,而不是为每一个时间进度表提供明确规范的支持力度;②优先次序设定的标准含糊不清;尤其设定优先次序的过程不清楚或不系统不准确;③无交流和监测评价计划。本文提出用于指导在查找和使用研究证据支持知证决策的过程中如何设定优先次序的问题,包括:①设定优先次序的方法可否明确地为以不同方式解决最优先问题制定时间表?②该方法是否采用了设定优先次序的清晰标准?③该方法是否采用了设定优先次序的清晰流程?④该方法是否采用了交流策略和监测与评估计划? | John N Lavis Andrew D Oxman Simon Lewin Atle Fretheim 袁强 陈群飞 蒋兰慧 王莉 李幼平 | 2010 | 中国循证医学杂志2010,10,3: | 2 |
| 18 | 知证卫生决策工具之十一--查找和使用当地证据显示文摘当地证据是指来源于卫生政策或卫生项目所涉及的特定环境的证据。需要这类证据与其它形式的证据共同支持方案决择。全球证据是判断政策效果及其影响因素和深入了解问题解决办法的最佳出发点。而当地证据大多数是在判断应采纳哪些决定及采取哪些措施时使用。本文提出以下5个问题供政策制定者在识别和评价当地证据进行知证决策时参考:①知证决策需要什么样的当地证据?②如何获得必需的当地证据?③如何评价现有当地证据的质量?④当地证据的可获得性、质量或结果是否有重要变化?⑤如何整合当地证据与其他信息? | Simon Lewin Andrew D Oxman John N Lavis Atle Fretheim Sebastian Garcia Marti Susan Munabi-Babigumira 李幼平 王莉 成岚 蒋兰慧 蔡羽嘉 | 2010 | 中国循证医学杂志2010,10,4: | 2 |
| 19 | 知证卫生决策工具之十三--准备和使用政策简报支持知证决策显示文摘政策简报是一个相对较新的为决策者打包研究证据的方法。政策简报的第一步就是设定政策问题的优先顺序,然后收集与问题各种特征相关的各方面研究证据。利用可得到的系统评价可使收集证据的过程可行且合理;若无系统评价,可查找单个相关研究并根据需考虑问题的特征合并单个研究。本文提供以下问题供准备和使用政策简报支持知证决策者参考:①该政策简报是否解决一个高度优先问题,并描述了该问题的相关背景?②该政策简报是否描述了用于解决该问题各方案的问题、成本和效果及实施时需考虑的关键问题?③该政策简报是否用系统、透明的方法查找、筛选及评价合成的研究证据?④在讨论合成的研究证据时,该政策简报是否考虑了证据的质量、当地适用性及公平性?⑤该政策简报是否使用分级进入格式?⑥是否对该政策简报的科学质量和系统相关性进行了评价? | John N Lavis Govin Permanand Andrew D Oxman Simon Lewin Atle Fretheim 李幼平 李玲 蒋兰慧 文进 | 2010 | 中国循证医学杂志2010,10,5: | 2 |
| 20 | 知证卫生决策工具之十五--使公众参与知证决策显示文摘我们在本文中提出告知公众并使之参与政策制定和实施的策略。使各级卫生系统的公众(患者和公众)参与政策制定和实施的重要性得到广泛认同。他们是公共政策所带来的有利或不利影响的最终受众,许多政府和组织已认识到使公众参与知证决策过程的价值。这样做的潜在好处包括制定包含公众想法并表明其关注点的政策,改善政策实施效果,促进医疗卫生服务和增进健康。公众参与也可被看做是政策的本质目标之一,鼓励民主参与、公众责任和透明。关于公众参与策略,我们提出可考虑的三个问题,分别是:①与媒体合作时,可用哪些策略来告知公众有关政策的制定和实施?②与民间社会团体合作时,可用什么策略告知公众并使之参与政策制定和实施?③可用什么方法使需方参与政策制定与实施? | Andrew D Oxman Simon Lewin John N Lavis Atle Fretheim 李鸿浩(译) 李幼平(总审校) 杨晓妍(审校) | 2010 | 中国循证医学杂志2010,10,5: | 2 |