我国老年医疗卫生指南需求框架的构建及思考

The development of a framework on the need for elderly healthcare guidelines in China and related issues

目的基于我国人口老龄化严峻形势及老年医疗卫生指南需求,构建我国老年医疗卫生指南需求框架并分析,为老年医疗卫生指南制定工作提供参考依据。方法通过文献调研法和专家咨询法构建我国老年医疗卫生指南需求框架。邀请22名专家组成咨询专家组,运用德尔菲法开展两轮专家咨询及讨论,更新调整框架,使用层次分析法计算各指南方向权重。结果形成我国老年医疗卫生指南需求框架,含7个一级方向、35个二级方向,得出各级方向权重,其中,老年综合征指南方向权重最高,为0.204,老年疾病诊疗指南方向权重以0.196位列第二。结论初步建立了适合我国国情、兼顾多方需求、覆盖较好的老年医疗卫生指南需求框架,以期切实解决一批老年医疗卫生工作中的难点、热点问题,助推产出一批高质量的老年医疗卫生领域指南。

ObjectiveBased on the serious situation of population aging and the need for geriatric healthcare guidelines in China,we constructed a framework on the need for national geriatric care guidelines and conducted relevant analysis,aiming to provide a reference for the formulation of guidelines for geriatric care.MethodsLiterature review and expert consultations were used to construct a framework on the need for guidelines on geriatric care in China.Twenty-two experts were invited to form a consultation group,and two rounds of expert consultations and discussions were carried out using the Delphi method to update and adjust the framework.Hierarchical analysis was used to calculate the weight of each guideline direction.ResultsA framework on the need for geriatric healthcare guidelines was developed,containing 7 first-level directions and 35 second-level directions,and the weights of the directions were derived,with the direction of guidelines on geriatric syndromes having the highest weight at 0.204,and the direction of guidelines on geriatric disease diagnosis and treatment having the second highest weight at 0.196.ConclusionsA preliminary framework on the need for geriatric healthcare guidelines has been established.It is fitting for the country's general conditions,takes into account the needs from multiple perspectives,has good coverage,and can be expected to solve a range of difficult and urgent issues in geriatric care and help promote the development of a set of high-quality guidelines in the field of geriatric healthcare.