中国临床实践指引的现状与思考-中国循证医学杂志.pdfVIP

中国循证医学杂志 2017年5月第17卷第5期 • 497 •   ·述评· 中国临床实践指南的现状与思考 1 2 2 2 1 林夏 ，杨克虎，陈耀龙，王琪，白飞 1. 国家卫生和计划生育委员会医疗管理服务指导中心（北京  100000 ） 2. 兰州大学循证医学中心（兰州  730000 ） 【摘要】   国家卫生和计划生育委员会医疗管理服务指导中心于 2015 年初成立，其主要职能为研究医疗技术 规范标准，对医疗机构评价进行技术指导和咨询。医管中心的成立拓展了我国国家层面在临床实践指南制订与 质量评价方面的职能。本文阐述了临床实践指南的定义，分析了国内临床实践指南的现状，从国家层面提出了提 高我国临床实践指南质量的建议，并分析了我国临床实践指南制定的成功案例，以期进一步促进我国临床实践指 南制订的规范化、科学化、透明化。 【关键词】   临床实践指南；指导原则；质量评价；政策建议 Status and thoughts of clinical practice guideline in China 1 2 2 2 1 LIN Xia , YANG Kehu , CHEN Yaolong , WANG Qi , BAI Fei 1. National Center for Medical Service Administration, National Health and Family Planning Commission, Beijing, 100000, P.R.China 2. Evidence-based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China Corresponding author: BAI Fei, Email: gsyzbf@163.com 【Abstract 】 National Center for Medical Service Administration of National Health and Family Planning Commission of PRC was established in the beginning of 2015. It is mainly in charge of developing and managing standards of medical technology and organizing their implementation, and giving technical guidance and consulting for evaluation of medical institutions. The foundation of the center fills in the blank of lacking central administrative department of the guideline development and evaluation. This paper explains the definition and the function of clinical practice guideline, and analyzes the current situation, problems and challenges of domestic guidelines, and proposes some potential suggestions on improving the quality of Chinese guidelines from national level for promoting the standardization, scientification and transpar