中医药临床实践指南中经济性证据的获取  

Acquisition of Economic Evidence in Chinese Medicine Clinical Practice Guidelines

作　　者：关英杰 刘建平[1] 金雪晶 常文婧 李云[1] 冯雪 段笑娇 刘鹏伟 苏祥飞 陈薇[1] GUAN Ying-jie;LIU Jian-ping;JIN Xue-jing;CHANG Wen-jing;LI Yun;FENG Xue;DUAN Xiao-jiao;LIU Peng-wei;SU Xiang-fei;CHEN Wei(Centre for Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing,100029;Standards and Guideline Developing Office,China Association of Chinese Medicine,Beijing,100029)

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]中华中医药学会标准化办公室,北京100029

出　　处：《中国中西医结合杂志》2023年第5期605-612,共8页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局中医药标准化项目(No.GZYFJS-2022-038)。

摘　　要：临床实践指南的推荐意见不仅要将健康效益最大化,还要具有经济性。因此,在指南制订过程中应引入经济性证据。获取经济性证据的流程,包括:(1)有卫生经济学方面的专家参与;(2)形成初始问题清单时确定经济问题;(3)检索经济学评价研究;(4)筛选经济学评价研究;(5)提取资料;(6)综合经济性研究证据;(7)选出关键的经济问题做进一步探索;(8)建立模型;(9)收集定性成本信息。本文旨在为中医药指南制订中引入经济性证据提供借鉴和参考。Clinical practice guidelines instruct physician to make medical decisions for optimal outcomes,not only to maximize health benefits,but also to recommend cost-effective treatments.Therefore,economic evidence needs to be included in the guideline development.This paper introduces the process of acquiring economic evidence with a total of 9 steps as follow:(1)to include health economists in the CPG/consensus committee;(2)to determine which financial issues to be added to the initial list of clinical questions;(3)to search economic evaluations;(4)to select economic evaluations;(5)to extract data;(6)to synthesize evidence;(7)to screen out key economic issues and determine which economic issues require further exploration;(8)to build economic models for key issues;(9)to collect qualitative cost information.It is hoped to provide reference for Chinese medicine clinical practice guidelines including economic evidence in the future.

关 键 词：临床实践指南 中医药 经济性证据 获取流程 

分 类 号：R288[医药卫生—中药学]