中国临床医学指南现状.pdfVIP

中华l临床常养杂志 2010 年 12 月第 18 卷第6 期 Chinese Joumal of Clinical NutritiQn , December 2010 ,Vol. 18 ,No. 6 327 ·专家述评· 中国临床医学指南现状 贯晓战蒋未明 [摘要}临床阪学指南是系统开发的多学科临床指导意见，可以帮助临床医生、患者以及其他利益 相关者对特定的临床问题做出恰当处理、选探和决策。 20ω 年以来，我固政府及一峻医学学术团体开始 着手编撰自d相应学科的临床珍疗指南，但用欧美等发达国家的通用标准来进行评价，尚存在以下不 足; (1)误认为指南是教科书成法规; (2) 缺乏对临床诊疗指南制订过程的介绍; (3) 缺乏周内高级 别临床证据; (4) 缺乏对编写工作独fr.饨的说明。尽管如此，编写在国自己的临床诊疗指南十分必要。 随着人类对健康水平的无限追求与有限的资源环境矛盾日益加剧，制订临床珍疗指南将成为医学临床实 践巾最为噎婆的环节之一。 [关键词] I临床指南:中国;现状:网内指南 [中朋分类号) R4 [文献标志码1 A [文章编号] 1674-635X(20IO)06-0327-03 The present sta伽S o( Chinese cHnical prac创ce 领údeHnes JIA Xiao-wei , JIANG Zhu …ming. • Medical Ed… ucation Publicatio邸， Peoples Medical Publïshing House. Beijing 1000刀• Chína Corresponding author; JIANG Zhu-ming. ιmaiJ: jia，啄ZTT1， @imica11l.l. aιcn [Abstract] Clinical practice guidelines are systematically developed clinical multi-discipline adviωry state. ments which assist provider晤. recipients and other stakeholders to make informed decisions about appropriate health interventions. Chinese govemment and some clinical academic communities began to develop the domestic guide. lines after 20∞. Nevertheless. there were still some shortcomings presented in the domestic guidelines if assessed by the advanced appraisal instrumenl of 也e developed countri侃 ηlere were four aspects as follow. The first , mis- under百tood the guidelines are the rule or text book. 悦le second , ignored pre酬酬。n of the procedUl审 about devel- opment of guidelines. The third , there were a lack of high level evidences. The fourth , not declared editoria! inde- pendence. However , it is necessaηto develop the domestic guideline of China. Wi出 rising ωnflicts between the increasing needs for health care and shortage of our environment resou陀e. development of the guidelines become one of the key sleps in the process of