摘要
临床实践指南是缩小当前最佳证据与临床实践差距的决策工具。指南临床适用性是指临床指南推荐意见能够应用于临床实践的程度。已有研究显示:现有临床指南存在临床适用性差的问题,且仅提高指南质量可能无法解决此问题。国家卫生健康委医疗管理服务指导中心立项开展临床实践指南临床评价体系建设,拟基于循证方法制订由临床指南目标使用者进行评价的指南临床适用性评价体系,旨在:(1)甄别出临床适用性高的指南;(2)推广临床适用性佳的指南在临床的应用;(3)为指南制/修订者反馈指南的临床适用性结果,以帮助优化指南制订和更新,持续提升指南适用性,真正使临床实现指南可用、好用。
Clinical practice guidelines are decision-making tools for bridging the gap between current best evidence and clinical practice. Studies have shown poor clinical applicability of existing guidelines, which may not be solved by improving the quality of guidelines alone. National medical management service guidance center is developing clinical practice guidelines of clinical evaluation system of construction projects, based on evidence-based method formulated by the target users of clinical guidelines evaluators’ applicability evaluation system of clinical practice guidelines. It aims to identify guidelines with high clinical applicability and provide the evaluation results of clinical applicability to developers and revisers of clinical guidelines, and then optimize the development and update,eventually improving the clinical applicability of guides and promote Chinese clinical guidelines in clinical application.
作者
王强
李幼平
张伯礼
刘瀚旻
王杉
石炳毅
康德英
刘关键
刘晓清
韩英
赵荣生
姜可伟
曾宪涛
张宏
刘利
张伶俐
国家卫生健康委医疗管理服务指导中心“指南临床适用性评价体系研究”项目专家组
WANG Qiang;LI Youping;ZHANG Boli;LIU Hanmin;WANGShan;SHI Bingyi;KANG Deying;LIU Guanjian;LIU Xiaoqing;HAN Ying;ZHAO Rongsheng;JIANG Kewei;ZENG Xiantao;ZHANG Hong;LIU Li;ZHANG Lingli;Group of Clinical Applicability Evaluation System Research of Clinical Guidelines(Medical Management Service Guidance Center,National Health Commission of the People's Republic of China,Beijing,100044,P.R.China;Chinese Evidence-Based Medicine Center,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Tianjin University of Traditional Chinese Medicine,Tianjin,301617,P.R.China;Department of Pharmacy,West China Second University Hospital,Sichuan University,Chengdu,610041,P.R.China;Department of Gastroenterological Surgery,Peking University People's Hospital,Beijing,100044,P.R.China;Organ Transplant Research Institute,Eighth Medical Center of PLA General Hospital,Beijing,100091,P.R.China;Department of Infectious Diseases,Peking Union Medical College Hospital,Beijing,100730,P.R.China;Department of Gastroenterology,Xijing Hospital Affiliated to the Fourth Military Medical University,Xi'an,710032,P.R.China;Department of Pharmacy,The Third Hospital of Peking University,Beijing,100083,P.R.China;Center for Evidence-Based and Translational Medicine,Zhongnan Hospital of Wuhan University,Wuhan,430071,P.R.China;Renal Division,Department of Medicine,Peking University First Hospital,Beijing,100034,P.R.China;Department of Neurosurgery,First Affiliated Hospital of Harbin Medical University,Harbin,150001,P.R.China;Department of Pharmacy/Evidence-based Pharmacy Center,West China Second Hospital,Sichuan University,Chengdu,610041,P.R.China;Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),Ministry of Education,Chengdu,610041,P.R.China;Evidence-based Pharmacy Committee,Chinese Pharmaceutical Association,Beijing,100044,P.R.China;不详)
出处
《中国循证医学杂志》
CSCD
北大核心
2020年第3期249-251,共3页
Chinese Journal of Evidence-based Medicine
基金
国家卫生健康委员会2018委托课题(编号:医管办函〔2018〕44号)。
关键词
指南
临床适用性
评价体系
共识
Clinical guideline
Clinical applicability
Evaluation system
Consensus
作者简介
通信作者:张伶俐,Email:zhanglingli@scu.edu.cn。
