中医共识临床诊疗指南的临床作用评价  

Study on Clinical Functions of Consensus-based Clinical Practice Guidelines in Traditional Chinese Medicine

作　　者：宇文亚[1] 王燕平[1] 刘蔚霞[2] 杨伟[1] 赵学尧[1] 刘兴方[1] 刘孟宇[1] 王丽颖[1] 韩学杰[1] 

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]河南中医学院第一附属医院,郑州450000

出　　处：《世界科学技术-中医药现代化》2015年第2期329-332,共4页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家中医药管理局标准专项(ZYYS-2011[0032]-2):中医临床诊疗指南评价技术规范研究;负责人:宇文亚;韩学杰;谢雁鸣;中国中医科学院自主选题(Z0292):中医临床诊疗指南评价技术规范制定;负责人:宇文亚;韩学杰;谢雁鸣

摘　　要：目的:探索中医共识临床诊疗指南在中医临床实践中的作用。方法:在国家中医药管理局的组织下,全国42家中医院开展了73个指南的适用性调查。笔者对2 993份《中医临床诊疗指南适用性调查问卷》进行了描述性分析。结果:按照优、一般、劣的评分标准,指南临床应用安全性占优的比例为69.43%;指南诊疗方案的经济性占优的比例为58.57%;指南在规范医疗服务、保障医疗质量占优的比例为55.50%;指南临床应用的疗效占优的比例为46.74%。结论:中医共识临床诊疗指南主要具有提高临床安全性,控制医疗费用的作用。This study was aimed to explore clinical functions of consensus-based clinical practice guidelines （CB CPGs） in traditional Chinese medicine （TCM）. Under the guidance of the State Administration of TCM, 42 TCM hospitals in China had conducted a questionnaire survey for 73 CB CPGs and 2993 questionnaires had been included and analyzed. According to the category of good, general and bad, the proportion of the good in improving safety performance was 69.43%, controlling cost was 58.57%, regulating medical behavior was 55.50%, improving clinical effectiveness was 46.74%. It was concluded that the CB CPGs had played a good role in improving safety performance and controlling cost in TCM clinical practice.

关 键 词：中医药 共识临床指南 调查问卷 应用效果 

分 类 号：R24[医药卫生—中医临床基础]