协和医学杂志

2018, v.9(04) 367-373

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正确理解、制订和使用临床实践指南
How to Correctly Understand,Develop,and Apply Clinical Practice Guidelines

陈耀龙;杨克虎;
CHEN Yao-long;YANG Ke-hu;Evidence Based Medicine Center of Lanzhou University,Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province,WHO Collaborating Centre for Guideline Implementation and Knowledge Translation of Chinese GRADE Center;

摘要(Abstract):

高质量的临床实践指南能够有效指导和规范医生的诊疗行为,提高医疗质量,降低医疗成本。随着指南数量的逐年增加以及涵盖领域的不断扩大,医务人员对指南的关注度也越来越高,因此掌握如何正确理解、制订和应用指南的方法至关重要。本文主要介绍临床实践指南的定义和发展、指南制订过程中存在的常见误区以及基于RIGHT报告标准对指南进行快速评价和实施的技巧。
High-quality clinical practice guidelines can effectively guide and regulate clinicians' decision on diagnosis and treatment,improve medical quality,and reduce costs. Since the number of guidelines increases each year and the coverage of guidelines continues to expand,guidelines get more attention from clinicians. It is important for clinicians to know how to understand,develop,and apply clinical guidelines correctly. This article gives a brief introduction of definition,development,and misconception of clinical practice guidelines,and discusses how to quickly evaluate and implement guidelines based on the RIGHT reporting checklist.

关键词(KeyWords): 临床实践指南;循证医学;质量评价;报告规范
clinical practice guidelines;evidence based medicine;quality appraisal;reporting guidance

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基金项目(Foundation): 国家自然科学基金(81503459)

作者(Author): 陈耀龙;杨克虎;
CHEN Yao-long;YANG Ke-hu;Evidence Based Medicine Center of Lanzhou University,Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province,WHO Collaborating Centre for Guideline Implementation and Knowledge Translation of Chinese GRADE Center;

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