12个病种中医临床诊疗指南适用性评价

The Applicability Evaluation on TCM Clinical Diagnosis and Treatment Guidelines of 12 Diseases

目的评价2008年和2012年颁布的12个病种中医临床诊疗指南的适用性。方法采用国家中医药管理局统一设计的中医临床诊疗指南适用性调查问卷,从一般信息、指南质量水平、指南应用情况和意见建议4个方面对2008年与2012年颁布的共12个病种的中医诊疗指南进行调查和统计分析。结果 2012版指南的使用率为91.67%,高于2008版指南的使用率31.67%(P<0.05);2012版指南的质量水平和临床应用情况整体优于2008版指南(P<0.05);使用过指南的医生对指南质量水平和临床应用情况的评价优于未使用过指南的医生(P<0.05);不同职称医生对指南适用性评价的差异无统计学意义(P>0.05)。结论2012版指南更容易被临床医生接受,建议应及时评价指南质量和适用性,及时更新修订,并加大指南的推广力度。

Objective To evaluate the clinical applicability of existing traditional Chinese medicine（ TCM） clinical practice guidelines. Method This study was performed with questionnaire survey. A protocol questionnaire designed by State Administration of Traditional Chinese Medicine was adopted to evaluate the clinical applicability of TCM clinical diagnosis and treatment guidelines. The clinical practice guidelines on 12 kinds of diseases promulgated in 2008 and 2012 were investigated,and analyzed with statistical method in respect to the general information,quality,application status and advice / suggestions. Result The application rate of guidelines,2012 edition was 91. 67%,which was higher than of the 2008 edition（ 31. 67%,P〈0. 05）. Quality level and clinical application rate of 2012 edition was higher than those of the 2008 edition（ P〈0. 05）. Doctors who have used the guidelines gave more positive assessment on the quality level and clinical application than those who have not yet used them（ P〈0. 05）. No statistical significant difference shows among doctors with different professional titles（ P〉0. 05）. Conclusion Clinical guidelines in 2012 edition are more accepted in clinicians. It is suggested that timely quality evaluation and applicability assessment is necessary. Regular updates and better promotion for the guidelines should be performed.