中医临床诊疗指南制修订现状调研、分析与工作建议  

Investigation,Analysis and Suggestions on the Preparation and Revision of Clinical Diagnosis and Treatment Guidelines of Traditional Chinese Medicine

作　　者：闫雨蒙 苏祥飞 赵春霞 冯雪 段笑娇 刘鹏伟 李博[1,2,3] YAN Yumeng;SU Xiangfei;ZHAO Chunxia;FENG Xue;DUAN Xiaojiao;LIU Pengwei;LI Bo(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Beijing Institute of Traditional Chinese Medicine,Beijing 100010,China;Beijing Evidence-based Chinese Medicine Centre,Beijing 100010,China;Standardization Office of China Association of Chinese Medicine/National Technical Committee 478 on Traditional Chinese Medicine of Standardization Administration of China,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京中医医院,北京市100010 [2]北京市中医药研究所,100010 [3]北京中医药循证医学中心,北京市100010 [4]中华中医药学会标准化办公室全国中医标准化技术委员会,北京市100029

出　　处：《中国全科医学》2023年第11期1299-1304,1347,共7页Chinese General Practice

基　　金：国家中医药管理局中医药标准化资助项目(GZY-FJS-2020-204,GZY-FJS-2019-218)。

摘　　要：背景2014年底,国家中医药管理局政策法规与监督司开展中医临床诊疗指南制修订工作,对中医13个专科领域的240项中医临床诊疗指南项目进行制修订,中华中医药学会承担本部分工作。目的为了解中医领域临床诊疗指南制修订现状,从方法学角度对项目组工作中存在的问题进行分析并给出建议,本项目组对中华中医药学会中医临床诊疗指南制修订项目组进行调研。方法2020年6—12月,以中华中医药学会中医临床诊疗指南制修订项目组为调研对象,每个项目组人员填写一份问卷,汇集项目组整体意见。采用问卷星电子问卷,通过中华中医药学会工作文件的方式下发通知至各项目组进行调查,网络端收取调查结果。围绕调研主题,问卷内容包括5大方面:对中医临床诊疗指南的认识、指南制修订程序和方法学应用、指南制修订工作重点问题和关键环节、指南实施推广和应用情况、指南制修订工作情况整体调研。问卷为半结构化设计,共30个结构化问题、4个开放性问题。调研完成后对结果进行数据汇总与描述性分析。结果本调研最终收回有效问卷198份,调研结果提示,在对中医临床诊疗指南的认识上,大多数项目组(94.45%,187/198)认为本领域内依然需要更多的中医临床诊疗指南,中医临床诊疗指南依旧存在覆盖面不广、临床应用情况不佳等现状;指南制修订程序和方法学应用方面,99.49%(197/198)的项目组在指南制修订过程中遵照学会制修订技术方案,99.49%(197/198)的项目组有方法学专家全程参与;指南制修订工作重点问题和关键环节方面,项目组认为难点主要集中于缺乏高质量临床研究证据支持(89.39%,177/198)、缺乏符合中医药特点的方法学工具(70.20%,139/198)、临床分型标准难以统一(66.16%,131/198)、方药选择与用量无固定标准(60.61%,119/198)方面;指南实施推广和应用情况方面,71.21%(141Background At the end of 2014,the department of policies,regulations and supervision of the State Administration of traditional Chinese medicine carried out started to the preparation development and revision of clinical diagnosis and treatment guidelines of traditional Chinese medicine at the end of 2014,and made progressdeveloped in 240 clinical diagnosis and treatment guidelines of traditional Chinese medicine in 13 specialized fields.The Chinese society of traditional Chinese medicine undertookakes this part of the work.Objective In order to understand the current situation of the preparation development and revision of clinical diagnosis and treatment guidelines for in the field of traditional Chinese medicine,analyze the problems existing in the work of thethis project team from the perspective of methodology and give suggestions,this project team conducted investigated research on the preparation development and revision project team of clinical diagnosis and treatment guidelines of developed by traditional Chinese medicine of the Chinese Academy of traditional Chinese medicine.Methods The survey will be conducted from June to December 2020.The survey object participants are is the project groups of the preparation development and revision of the clinical diagnosis and treatment guidelines of Chinese medicine of the Chinese Society of Traditional Chinese Medicine.Each project team member of this project team finishedlls in a questionnaire,and finally gathers the overall opinions of the project team were collected.The Chinese Society of Traditional Chinese Medicine issued a notice to invite all project teams to participate in the survey by means ofusing questionnaire star electronic questionnaire,and finally collected the answers on the network.Focusing Based on the research theme,the questionnaire includes five aspects:1.understanding of the clinical diagnosis and treatment guidelines of for traditional Chinese medicine;2.guide preparation development and revision procedures and application of methodology

关 键 词：中医学 诊疗指南 中医药学 指南制修订 方法学 

分 类 号：R2[医药卫生—中医学]