Problems and Thinking on the Methods for Establishing the Effectiveness Evaluation Index System of Traditional Chinese Medicine
The collection,screening,weighting,and comprehensive evaluation of indicators are key steps in estab-lishing the effectiveness evaluation index system of traditional Chinese medicine(TCM).This article systematically reviewed the research methods in different stages,explored their existing problems,and provide reflections and recommendations.For indicator collection,literature research and expert interviews are generally used,but patient participation is not sufficient;for indicator screening,the Delphi method is the most widely used method,but there is still a lack of criteria and evidence to support indicator screening,and a few studies have applied clinical investigation methods;for indicator weighting,including subjective weighting and objective weighting,but they are mostly the application of a single type of method,and the indicator weights lack reliability;for comprehensive evaluation,analytic hierarchy process,TOPSIS,fuzzy comprehensive evaluation,rank sum ratio,the fuzzy-hierarchy technique for order preference by similarity to an ideal solution,grey relational analysis,and data envelopment analysis have gradually been applied to the study of TCM effectiveness evaluation,however,they often reflect the short-term effectiveness of TCM and can not highlight their long-term effectiveness advantages.Therefore,it is necessary to strengthen the partic-ipation of patients and consider their perspectives;in the process of selecting indicators,evidence support for impor-tance judgments should be provided to experts;in indicator weighting,we should integrate subjective and objective data information and actively carry out research on optimizing combination weighting methods;finally,a disease infor-mation management platform could be established and a dynamic comprehensive evaluation model could be constructed to provide new ideas and methods for evaluating the effectiveness of TCM.
effectiveness evaluation of traditional Chinese medicineeffectiveness evaluation indexindicator weightmodel of comprehensive evaluation
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