中西医结合临床实践指南实施框架构建的思考

Development of the Implementation Framework of Integrative Chinese Medicine Clinical Practice Guideline

中西医结合临床实践指南作为医学实践的重要指导性文件,是发挥中西医各自优势,促进中西医结合的重要抓手。然而目前中西医结合指南的研究存在“重研制”而“轻实施”的问题,依据实施科学的理论框架,构建中西医结合临床实践指南实施框架和方法,有利于促进中西医结合指南的实施和中西医临床的融合与发展。本文通过梳理和分析知识-行动框架,对中西医结合指南实施框架的研发思路展开讨论和思考,以期为未来相关研究奠定基础。

As an important guidance of medical practice,clinical practice guideline of integrative Chinese medicine(ICM-CPG)plays an extremely important role in showing the respective advantages of Chinese and Western medicine and in promoting the integrated Chinese and Western medicine.However,the research status on ICM-CPG is faced with the problem of emphasizing development but neglecting implementation.The establishment of ICM-CPG implementation model based on the theoretical framework of implementation science is conducive to promoting the implementation of ICM-CPG and advancing the integration and development of Chinese and Western medicine.In this paper,by sorting out and analyzing the knowledge to action(KTA)framework,we discuss the implementation framework development of ICM-CPG in order to provide reference for future research.