中国临床医学指南现状

The present status of Chinese clinical practice guidelines

临床医学指南是系统开发的多学科临床指导意见,可以帮助临床医生、患者以及其他利益相关者对特定的临床问题做出恰当处理、选择和决策.2000年以来,我国政府及一些医学学术团体开始着手编撰自己相应学科的临床诊疗指南,但用欧美等发达国家的通用标准来进行评价,尚存在以下不足：（1）误认为指南是教科书或法规;（2）缺乏对临床诊疗指南制订过程的介绍;（3）缺乏国内高级别临床证据;（4）缺乏对编写工作独立性的说明.尽管如此,编写我国自己的陆床诊疗指南十分必要.随着人类对健康水平的无限追求与有限的资源环境矛盾日益加剧,制订临床诊疗指南将成为医学临床实践中最为重要的环节之一.

Clinical practice guidelines are systematically developed clinical multi-discipline advisory statements which assist providers, recipients and other stakeholders to make informed decisions about appropriate health interventions. Chinese government and some clinical academic communities began to develop the domestic guidelines after 2000. Nevertheless, there were still some shortcomings presented in the domestic guidelines if assessed by the advanced appraisal instrument of the developed countries. There were four aspects as follow. The first, misunderstood the guidelines are the rule or text book. The second, ignored presentation of the procedure about devel- opment of guidelines. The third, there were a lack of high level evidences. The fourth, not declared editorial independence. However, it is necessary to develop the domestic guideline of China. With rising conflicts between the increasing needs for health care and shortage of our environment resource, development of the guidelines become one of the key steps in the process of clinical practice.