Formulando recomendaciones implementables

Andrew D. Oxman

Investigador, Unidad de Salud Global, Norwegian Institute of Public health

A structured and transparent way toinform decisions in the context of clinical recommendations, coverage decisions, and health system or public health recommendations and decisions

– Purpose – Structure– Use Jornada Científica 2016

Frameworks for going from evidence to decisions

Large groups, different knowledge backgrounds

Lots of complex information, little time, people often come poorly prepared

Discussion and voting

Individual voices may dominate

Introduction of new information in the middle of the process

Not everybody on same page at same time

Purpose of EtD frameworks• Ensure that panels consider important

criteria for making a decision• Provide panels with a concise summary of

the best available evidence to inform their judgments about each criterion

• Inform judgements about the relative pros and cons of the interventions or options being considered

• Help panels structure discussion and identify reasons for disagreements, making the process and the basis for decisions structured and transparent

EtD frameworks assist users of recommendations by

• Enabling them to understand the judgments made by the panel and the evidence supporting those judgments

• Helping them to decide whether recommendations can and should be implemented in their own settings

• Facilitating adaptation of recommendations or decisions to specific contexts

http://ietd.epistemonikos.org/

Structure of the frameworks

• Question• Assessment• Conclusions

Question

Question

Adaptation of recommendations and decisions to specific contexts

Gracias!