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临床医生如何评价和应用临床实践指南 被引量:11

How to Appraise and Implement Clinical Practice Guideline for Clinicians
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摘要 制定和推广高质量的临床实践指南是改善患者预后,控制医疗费用行之有效的方法。不同的国家或学术组织针对同一疾病可能制定了不同的指南,这些指南可能存在很大的异质性,给医生的临床决策带来困扰。本文阐述临床医生如何科学地评价临床实践指南的质量以及如何将指南应用于具体病人。 Developing and disseminating high quality clinical practice guideline is an effective method to improve the outcomes of patients and reduce the medical cost. Different countries or academic organizations may develop various guidelines, which may be quite different from each other, for the same disease. It is difficult for clinicians to make clinical decision by practicing these guidelines. This paper will induce the methods for clinicians on appraising the quality of clinical practice guideline and implementing it to individual patient.
作者 杨茗 董碧蓉
出处 《循证医学》 CSCD 2008年第4期235-238,共4页 The Journal of Evidence-Based Medicine
关键词 临床实践指南 方法学 评价 应用 clinical practice guideline methodology appraisal implement
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参考文献11

  • 1Field MJ, Lohr KN. Institute of Medicine Committee to advise the public health service on clinical practice guidelines. Clinical practice guidelines: Directions for a new program [ M ]. Washington DC : National Academy Press, 1990 : 3.
  • 2Lohr K, Field M. eds. A provisional instrument for assessing clinical practice guidelines. In Guidelines for clinical practice: From development to use [M]. Washington DC: National Academy Press, 1992.
  • 3Vlayen J, Aertgeerts B, Hannes K, et al. A systematic review of appraisal tools for clinical practice guidelines: Multiple similarities and one common deficit [J]. Int J Qual Health Care, 2005,17(3) :235-242.
  • 4Graham ID, Calder LA, Hebert PC, et al. A comparison of clinical practice guideline appraisal instruments [J]. Int J Technol Assess Health Care, 2000, 16: 1024-1038.
  • 5Cluzeau FA, Littlejohns P, Grimshaw JM, et al. Development and application of a generic methodology to assess the quality of clinical guidelines [J]. Int J Qual Health Care, 1999,11: 21-28.
  • 6AGREE Collaboration. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: The AGREE project [J]. Qual Saf Health Care, 2003,12: 18-23.
  • 7Watine J, Friedberg B, Nagy E, et al. Conflict between guideline methodologic quality and recommendation validity: A potential problem for practitioners [J]. Clin Chem, 2006,52: 65-72.
  • 8Watine J, Friedberg B, Charet JC. Laboratory variables and stratification of lung cancer patients: Recommendations for the future (Therapeutic Trials and Clinical Practice Guidelines) [M]//Carafaro RL, ed. Focus on lung cancer research. Hauppauge, NY: Nova Science Publishers, 2004: 173-203.
  • 9Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: Potential benefits, limitations, and harms of clinical guidelines [J]. BMJ, 1999,318:527-530.
  • 10Scalzitti DA. Evidence-based guidelines: Application to clinical practice [J]. Phys Ther, 2001,81 : 1622-1628.

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