• deplazio
    il Dipartimento di Epidemiologia del Servizio Sanitario del Lazio (DEP)
    con sede a Roma è un’istituzione attiva da oltre 30 anni
  • ambientale-valutativo
    il personale del DEP ha specifiche competenze di metodi
    epidemiologici in campo ambientale e valutativo
  • rischi ambientali
    Il DEP fornisce ai decisori le migliori conoscenze epidemiologiche
    per pianificare interventi di riduzione dei rischi per la salute
  • esiti
    Il DEP effettua studi di valutazione degli esiti delle cure sanitarie
  • cure sanitarie
    Il DEP fornisce evidenze per migliorare la qualità
    e l'efficacia delle cure sanitarie
  • inquinamento
    Il DEP valuta i rischi a breve e lungo termine associati
    all’esposizione ad inquinanti atmosferici
  • cambiamenti climatici
    Il DEP valuta l’impatto sulla salute dei cambiamenti climatici
    e degli eventi estremi ad essi associati

Registro Regionale Dialisi e Trapianti Lazio (RRDTL)

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DECIDE is a 5-year project (running from January 2011 to 2015) co-funded by the European Commission under the Seventh Framework Programme.

Project Objective

"To improve the dissemination of evidence-based recommendations by building on the work of the GRADE Working Group to develop and evaluate methods that address the targeted dissemination of guidelines."

Background

Healthcare decision makers face challenges in understanding guidelines, including the quality of the evidence upon which recommendations are made, which often is not clear. Guidelines are also typically developed as a one-size-fits-all package. By developing and evaluating targeted dissemination strategies, DECIDE aims to increase the use of evidence-based interventions in a sustainable way and to reduce the use of interventions where benefits are uncertain.

Methods

GRADE is a systematic approach towards assessing and communicating the quality of evidence and the strength of recommendations. It has been developed to address the weaknesses of other grading systems and is now widely used internationally. The DECIDE consortium, which is composed of members of the GRADE Working Group, will further develop this approach to ensure effective dissemination of evidence-based recommendations targeted at the key stakeholders (healthcare professionals; policymakers and managers; patients and the general public) who determine what happens in clinical practice. We will collect stakeholder input from advisory groups, consultations and user testing. This will be done across a wide range of health systems in Europe. The targeted dissemination strategies that are developed will be evaluated in randomized trials, refined and used and evaluated with real guidelines developed by the DECIDE partners and other guideline developers that we support.

Expected results

Dissemination strategies for recommendations that have been rigorously evaluated in diverse settings, support the transfer of research into practice, and are adapted to real-world healthcare systems.

Work Packages & Strategies

DECIDE comprises eight work packages:

  • WP 1: Health professional focussed strategies for communicating evidence-based recommendations
  • WP 2: Policymaker and manager focussed strategies for communicating evidence-based recommendations
  • WP 3: Patient and public focussed strategies for communicating evidence-based recommendations
  • WP 4: Strategies for communicating evidence based recommendations about diagnostic tests
  • WP 5: Strategies for communicating evidence based recommendations about public health and health system policy
  • WP 6: Strategies for collaboration among European guideline developers and health technology assessment agencies in Europe
  • WP 7: Dissemination and exploitation
  • WP 8: Management

The Department of Epidemiology of Lazio Regional Health Service, in collaboration with the Italian Cochrane Centre is responsible for coordination of the work package two.

DECIDE - Work Package Two

Newsletter DECIDE