我国医学研究对国内外临床诊疗规范的贡献程度分析

Analysis on the citation of Chinese medical research in domestic and abroad clinical guidelines

临床诊疗指南是指导和规范临床实践的重要依据,而医学研究成果是否纳入临床指南是衡量其学术和应用价值最重要的标准之一。近年来,我国对于医学科学研究持续投入,但是有关医学研究成果对临床诊疗指南的贡献程度及变化情况的系统性研究尚较少。本文通过对国内、外3002项临床诊疗指南及其引用的近22万篇参考文献的分析,系统性总结了我国的医学研究对国内、外临床诊疗规范的贡献程度及其变化趋势,以期为评估我国医学研究的发展水平、分析存在的问题以及优化医学研究的支持方向和评价体系提供参考。分析结果显示,近年来我国医学研究既取得了显著成绩,对我国临床诊疗指南的贡献程度在不断提高,同时也存在着医学研究的临床价值和国际影响力不足、不同疾病领域差距较大等若干问题;在此基础上作者提出了完善我国医学研究的规划和评估体系的建议。

Clinical guidelines are critical for guiding and standardizing clinical practice,as well as determining the academic value and practical significance of medical research.In recent years,medical scientific research has been continuously supported by national science foundation of China.However,the related changing contribution of Chinese medical scientific research to clinical guidelines is rarely investigated and summarized.By analyzing 3002 clinical guidelines and nearly 220 thousand references cited,we firstly describe the dynamic contribution of Chinese medical research to domestic and abroad clinical guidelines,thereby determining the development status and insufficiency of Chinese medical research,which is valuable for optimizing the funding strategy and valuation methods of medical scientific research.This analysis shows that the citation number of Chinese medical research in domestic clinical guidelines has been continuously increased,while which varies greatly among disease fields.Besides,the clinical value and international influence of Chinese medical research is not yet satisfactory.Thus,the author also put forward several advice to improve the medical scientific research planning and evaluation system in China.