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基于循证理念制定卫生健康标准的思考

Reflections on Developing Health Standards Based on Evidence⁃based Concept
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摘要 国家卫生健康标准是实施卫生健康法律法规和政策、落实卫生健康政策规划、维护人民群众身体健康和生命安全的技术保障。我国卫生健康标准的制定应符合国家法律、法规、部门规章和卫生健康政策。在研制卫生健康标准时,应在科学技术研究成果和社会实践经验的基础上,深入调查论证,广泛征求意见,然而在制定过程中可能存在缺乏充分研究证据的问题。循证理念强调证据的重要性,因此将循证理念融入卫生健康标准制定过程,可提升其质量与科学性。本文在系统阐述我国卫生健康标准现状与制定流程的基础上,探讨循证理念用于卫生健康标准制定的必要性与可行性,对其面临的挑战与机遇进行分析,并提出思考与建议。 National health standards involve all kinds of technical requirements formulated and numbered in accordance with the procedures and formats stipulated in the standardisation system for the implementation of national health and hygiene laws,regulations and policies,and the protection of human health.The estab⁃lishment of health standards in China should align with our legal framework,including laws,regulations,departmental rules,and health and hygiene policies.During the development of these standards,a compre⁃hensive approach is advocated,encompassing in⁃depth investigations,rigorous demonstrations,and extensive stakeholder engagement.However,the process of standard formulation may suffer from insufficient research evidence.The evidence⁃based concept emphasizes the significance of evidence.Therefore,integrating evidence⁃based concept into the process of developing health standards can enhance the quality and scientific basis of these standards.This article systematically elucidates the current status and development process of health standards in China,explores the necessity and feasibility of incorporating evidence⁃based concept into the development of these standards,analyzes the challenges and opportunities,and presents re⁃flections and suggestions.
作者 苏仁凤 刘辉 史乾灵 罗旭飞 杨楠 赵俊贤 田倩男 张娟娟 伍丽群 陈耀龙 SU Renfeng;LIU Hui;SHI Qianling;LUO Xufei;YANG Nan;ZHAO Junxian;TIAN Qiannan;ZHANG Juanjuan;WU Liqun;CHEN Yaolong(School of Public Health,Lanzhou University,Lanzhou 730000,China;Evidence-based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,China;The First School of Clinical Medicine,Lanzhou University,Lanzhou 730000,China;Shenzhen Health Development Research and Data Management Center,Shenzhen 518028,China;Research Unit of Evidence-based Evaluation and Guidelines,Chinese Academy of Medical Sciences,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,China;WHO Collaborating Center for Guideline Implementation and Knowledge Translation,Lanzhou 730000,China)
出处 《协和医学杂志》 CSCD 北大核心 2024年第2期435-441,共7页 Medical Journal of Peking Union Medical College Hospital
基金 深圳市“医疗卫生三名工程”项目(SZSM202111001)。
关键词 卫生健康标准 循证理念 循证医学 health standards evidence⁃based concept evidence⁃based medicine
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