摘要
目前中医药临床实践指南制订推荐意见的形成存在诸多难点,通过深入剖析中医药临床实践指南推荐意见形成阶段所特有的或突出的难点问题,如专家专业背景和经历导致其学术情感的偏重、学术流派影响导致难以达成共识、决策维度对推荐意见影响权重缺乏指导原则等,提出了中西医并行的共识组模式、完善中西医结合的方法学范式、重视学术流派的循证治理、促进推荐意见形成决策影响维度的研究等方法学建议,以期为指南制订提供方法学参考.
Abstract
Currently,there are many difficulties in formulating recommendations of traditional Chinese medicine(TCM)clinical practice guidelines.This paper analyzed and summarized the unique or prominent difficult issues in the formulation of recommendations faced by TCM guidelines,such as experts'professional background and experi-ence bringing about the preferance from the academic emotion,inconsistency between different academic schools mak-ing it difficult to reach consensus,lack of guiding principles of the decision weight of different dimensions for recom-mendations.Therefore,methodological suggestions have been put forward,including organizing parallel TCM and western medicine consensus group,improving the method of combining TCM and western medicine paradigm,attaching great importance to the evidence-based governance of academic schools,and promoting the research on different dimensions for recommendation formulation,which may provide a methodological reference for the guideline development.
基金项目
新疆维吾尔自治区重点研发计划(2021B03006-4)
维普
万方数据