共识法在传统医学临床实践指南制定过程中的应用探讨

Application of consensus methods in making clinical practice guidelines of traditional medicine

长期以来,医学研究领域里对于科研决策过程中人的经验、建议和不同意见、观点、论述等相关主观世界的研究,由于缺乏合适的研究方法,使得无法充分利用其价值。特别是目前在中医临床研究规范化的过程中,这方面的问题尤为突出,亟需解决。共识法可以用来研究群体内不同观点,得出不同层次的同意程度,以达到共识,尤其在专家共识的形成方面被广泛应用。共识法最常用的方法有3种:德尔斐法、名义群体法和共识会议法。本研究课题组通过运用共识会议法经过三轮专家共识会议,完成了世界卫生组织西太区原发性骨质疏松症传统医学临床实践指南讨论稿中"好的临床实践观点"(good practice points,GPP)的形成。本文结合这一实例,重点探讨共识会议法在传统医学临床实践指南制定过程中的应用。

For a long time. in the field of medical research, due to lack of proper methods, research decisionmaking process has not made the most of human experience, recommendations and different opinions, viewpoints, and expositions related to subjective interpretation. At present, this problem in the course of the standardized clinical research on traditional Chinese medicine is particularly prominent and needs to be solved urgently. Consensus methods can be used for studying different perspectives within the group and get different levels of ＂consent＂ in order to achieve ＂consensus＂, especially in the formation of a consensus of experts, which are widely used now. Consensus methods include three frequently used methods such as Delphi method, nominal group technique and consensus development conference. The research team of WHO Western Pacific Regional Primary Osteoporosis Clinical Practice Guideline of Traditional Medicine completed the preparation of good practice points in the first draft after three expert consensus meetings by using consensus development conference method. This article discusses the application of consensus development conference method in the developing process of clinical practice guidelines of traditional medicine.