健康公平性在指南制订中的思考与方法学建议  

Considerations and Methodological Suggestions on Health Equity in Clinical Practice Guideline Development

作　　者：高一城 刘芷含 陶立元[4] 曹蕊 夏如玉 冯玉婷 方锐[5] 邓迎杰[5] 向文远 费宇彤[1,2,3] GAO Yicheng;LIU Zhihan;TAO Liyuan;CAO Rui;XIA Ruyu;FENG Yuting;FANG Rui;DENG Yingjie;XIANG Wenyuan;FEI Yutong(Centre for Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Institute for Excellence in Evidence-based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Beijing GRADE Center,Beijing 100029,China;Research Center of Clinical Epidemiology,Peking University Third Hospital,Beijing 100191,China;Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]北京中医药大学国际循证中医药研究院,北京100029 [3]北京GRADE中心,北京100029 [4]北京大学第三医院临床流行病研究中心,北京100191 [5]新疆医科大学附属中医医院,乌鲁木齐830000

出　　处：《协和医学杂志》2023年第6期1319-1324,共6页Medical Journal of Peking Union Medical College Hospital

基　　金：新疆维吾尔自治区重点研发计划(2021B03006-4)。

摘　　要：健康公平性能够缩小不同群体之间的健康差异,使公民享有公平的健康服务。目前,指南制订者越来越重视对健康公平性的考虑,并在指南制订的过程中进行了初步探索和应用。但现有指南制订过程对于健康公平性的结构化和系统化构建考虑较少,其对未来指南制订的指导较有限。本文探讨在指南制订关键环节对健康公平性系统化构建进行深入思考的方法学建议,以期为指南制订者提供参考。Health equity can narrow the health gap between different groups and enable citizens to enjoy fair health services.Clinical practice guideline makers have been paying more and more attention to health equi-ty,and exploring and applying the consideration to the development of corresponding guidelines.However,ex-isting clinical practice guideline development gives little consideration to the structured and systematic construc-tion of health equity,and the guidance for future guidelines is limited.This paper aims to put forward methodo-logical suggestions for in-depth consideration of health equity in clinical practice guideline development,with the hope of providing reference for guideline developers.

关 键 词：健康公平性 临床实践指南 方法学 

分 类 号：R181[医药卫生—流行病学]