[1]黄超陈耀龙蒋帅王小琴王强.深化医改背景下我国临床实践指南规范化发展的探讨[J].中国卫生质量管理,2018,25(04):43-45.[doi:10.13912/j.cnki.chqm.2018.25.4.14]

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深化医改背景下我国临床实践指南规范化发展的探讨

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第25卷期数: 2018年04期页码: 43-45 栏目: 医疗质量出版日期: 2018-07-28

作者:: 黄超陈耀龙蒋帅王小琴王强; 国家卫生计生委医疗管理服务指导中心

关键词:: 医改; 中国; 临床实践指南

Keywords:: Medical Reform; China; Clinical Practice Guideline

DOI:: 10.13912/j.cnki.chqm.2018.25.4.14

摘要:: 提升基层医疗服务能力，控制医疗费用增长，提高医疗服务质量和安全，是推动我国医改纵深的关键问题。临床实践指南能规范医疗行为，提高医疗服务同质化和均等化水平，保障患者安全，控制医疗费用增长，优化资源配置，是医改工作的重要抓手。通过分析我国临床实践指南的现状，指出了我国目前指南发展的问题和挑战，并结合我国深化医改的大背景，从国家层面为今后指南的规范化发展提供了可行建议：国家层面的规范和支持；制定符合我国国情的指南标准体系和评价体系；建立国家指南数据库平台；指南方法学融入医学教育和培训；加强指南应用监管；提高临床研究水平；加强国际交流等。

Abstract:: Promoting the capacity of primary medical service, controlling the growth of medical expenses and improving the quality and safety of medical service are the key issues to promote the in-depth medical reform in China. Clinical practice guidelines can standardize diagnosis and treatment process, improve the homogenization and equalization of medical services, ensure patient safety, control medical expenses and optimize the allocation of resources, which is an important means for advancing medical reform. Through the analysis of the current development situation of clinical practice guidelines in China, problems and challenges in guideline development were summarized. Feasible suggestions at the national level for the future standardized development of clinical guidelines were also provided under the background of deepening the medical reform:standards and support at the national level, formulate the standards system and education system that conforms to china’s national conditions, establish a national guide database platform, guide methodology integrates medical education and training, strengthen the guide application, improve medical research,strengthen international exchanges,etc.

参考文献/References:

［1］陈薇,刘建平.循证临床实践指南的制订和评价I循证临床实践指南编制的方法［J］.中华口腔医学杂志, 2013, 48(2)：109-111.

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更新日期/Last Update: 2018-07-28