各國都有自己的臨床指南,用于規(guī)范醫(yī)療行為,中國亦在建立自已的臨床指南.然而,從全世界多年的臨床指南使用情況看,并未達(dá)到應(yīng)有的指導(dǎo)效果.循證醫(yī)學(xué)的發(fā)展,給指南的制定帶來了根本性的轉(zhuǎn)變,以證據(jù)為基礎(chǔ)建立循證臨床指南已在世界迅速興起.作者根據(jù)蘇格蘭制定國家循證指南的經(jīng)驗,對循證指南的建立原則進(jìn)行了探討,以供國內(nèi)同事參考.
引用本文: 董碧蓉,岳冀蓉,徐 英. 制定循證指南的原則. 中國循證醫(yī)學(xué)雜志, 2006, 06(2): 80-83. doi: 復(fù)制
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- 1. Scottish Intercollegiate Guideline Network.2002,CD Room 3rd Edition.
- 2. John PG,Richard AD,Scott DR.Evidence-Based Clinical Practice concepts and approaches.Butterworth-Heinemann,United states of American; 2000.19-123.
- 3. The American College of Cardiology/American Heart Association Task Force.ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult:a report.1995,Nov 1 (revised 2001 Dec).
- 4. Willims and Wilkins.Guide to Clinical Preventive Services.2nd Version.Preventive Services Task Force.Baltimore,1996.
- 5. Greco PJ,Eisenberg JM.Changing physicians’ practices.N Engl J Med,1993; 329:1271-1273.