临床实践指南信息化平台发展现状  

Status of Clinical Practice Guideline Information Platforms

作　　者：张雪芹 赵芸 刘杰[2] 葛龙 邢颖 任似梦 王怡菲 张文政 张迪 王世华 孙瑶 吴敏 冯林 文天才[1,4] ZHANG Xueqin;ZHAO Yun;LIU Jie;GE Long;XING Ying;REN Simeng;WANG Yifei;ZHANG Wenzheng;ZHANG Di;WANG Shihua;SUN Yao;WU Min;FENG Lin;WEN Tiancai(TCM Data Center,China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Oncology,Guanganmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100700,China;School of Public Health,Lanzhou University,Lanzhou 730000,China;Institute of TCM Information,China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Nephrology,the First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Chinese Medicine),Hangzhou 310006,China;Institute of Basic Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;School of Public Health,Shaanxi University of Chinese Medicine,Xian 712046,China)

机构地区：[1]中国中医科学院中医药数据中心,北京100700 [2]中国中医科学院广安门医院肿瘤科,北京100700 [3]兰州大学公共卫生学院,兰州730000 [4]中国中医科学院中医药信息研究所,北京100700 [5]浙江中医药大学附属第一医院肾病科(浙江省中医院),杭州310006 [6]中国中医科学院中医临床基础医学研究所,北京100700 [7]陕西中医药大学公共卫生学院

出　　处：《协和医学杂志》2025年第2期462-471,共10页Medical Journal of Peking Union Medical College Hospital

基　　金：国家自然科学基金(82374624);中国中医科学院科技创新工程重大攻关项目(CI2021A05502);中国中医科学院课题(ZZ16-XRZ-107-SJ);中国中医科学院中央级公益性科研院所基本科研业务费项目(ZZ15-WT-05);北京市自然科学基金(7232306)。

摘　　要：临床实践指南是通过系统评价当前可得的临床证据和平衡不同干预措施的利弊,从而为患者提供最佳推荐意见。然而,临床实践指南从制订/修订到临床推广应用,需经过较长的转化周期,且存在分布分散、重复率高、实际利用度低等问题。临床实践指南信息化平台可直接或间接解决指南制订/修订周期长、发布不集中及应用不足等相关问题。因此,本文对不同类型的临床实践指南信息化平台进行整理和分析,探讨其在平台设计、数据整合和应用方面的挑战及趋势,以了解该领域发展现状,并为未来临床实践指南信息化平台的建设和研究提供参考。Clinical practice guidelines represent the best recommendations for patient care.They are de⁃veloped through systematically reviewing currently available clinical evidence and weighing the relative benefits and risks of various interventions.However,clinical practice guidelines have to go through a long translation cycle from development and revision to clinical promotion and application,facing problems such as scattered distribution,high duplication rate,and low actual utilization.At present,the clinical practice guideline infor⁃mation platform can directly or indirectly solve the problems related to the lengthy revision cycles,decentralized dissemination and limited application of clinical practice guidelines.Therefore,this paper systematically exam⁃ines different types of clinical practice guideline information platforms and investigates their corresponding chal⁃lenges and emerging trends in platform design,data integration,and practical implementation,with the aim of clarifying the current status of this field and providing valuable reference for future research on clinical practice guideline information platforms.

关 键 词：临床实践指南 结构化 知识化 信息技术 

分 类 号：R181.2[医药卫生—流行病学] TP[医药卫生—公共卫生与预防医学]