临床实践指南制定方法——指南制定参与人员及组成分配

Methodology for clinical practice guidelines--members,groups or committee of guideline development

多学科合作构建指南已经成为共识,应由多学科代表组成指南制定小组,包括临床专业人员、相关专业人员、患者群体、方法学专家、经济学专家等。指南制定前进行利益相关方分析有助于确定需要纳入的人员。循证制定指南需要文献检索、评价、整合、再评价等方法人员,也需要专门的指南制定方法学专家。患者在指南制定中的作用也越来越凸显,患者参与指南制定是保证患者需求、价值观或偏好融入指南制定过程的重要方法,也是促进指南实施的有力举措。

Guideline development groups should include individuals from a range of relevant stakeholder groups to minimize bias. Multidisciplinary participation helps identify and evaluate all relevant evidence, builds support among the intended guideline users, and increases the chances of addressing practical problems related to implementation.The methodologist should be fluent with guideline methodology, understand the process of systematic review, and have direct experience with prior guidelines developed by the organization. Lay members usually have direct experience of the condition, services or topic being covered by the guideline--as a patient, service user, carer or family member, so views and perspectives of lay members should be incorporated in the guideline development.