To improve our health care services,promote balanced development of inter-regional and inter-disciplinary medical care skills,and effectively implement public hospital reform,the former Ministry of Health,State Chines...To improve our health care services,promote balanced development of inter-regional and inter-disciplinary medical care skills,and effectively implement public hospital reform,the former Ministry of Health,State Chinese Medicine Administration Bureau and the Ministry of Finance allocated state funds in 2010 to support a National Clinical Key Specialty Construction Project.The project supports the acquisition of key equipment,personnel training and development of clinical diagnosis technology in order to develop high-quality medical resources and improve clinical services.Because of the important role nursing plays,clinical nursing and specialty care were also included in the project.The Chinese Nursing Association was commissioned to oversee this project,which awarded 211 million RMB to nursing disciplines in 86 hospitals representing all regions of China.This funding has supported the rapid development of nursing disciplines,the results of which are outlined and described in this review.展开更多
Objective: To organize the clinical practice guidelines(CPGs) related to acupuncture included in the National Guideline Clearinghouse(NGC) to systematically summarize the diseases and disorders most commonly trea...Objective: To organize the clinical practice guidelines(CPGs) related to acupuncture included in the National Guideline Clearinghouse(NGC) to systematically summarize the diseases and disorders most commonly treated with acupuncture, the strength of recommendations for acupuncture and the quality of evidence. Methods: The NGC database was systematically searched for guidelines that included acupuncture as an intervention. Two independent reviewers studied the summaries and the full texts of the guidelines and included guidelines based on the inclusion and exclusion criteria. Thirty-nine guidelines were collected with 80 recommendations. The Appraisal of Guidelines for Research and Evaluation(AGREE) Ⅱ instrument was used to assess the quality of these guidelines. Results: Of the 80 recommendations on acupuncture, 49 recommendations were clearly for acupuncture, 25 recommendations were against acupuncture and 6 recommendations did not indicate any clear recommendations, 37 recommendations were for painful diseases/disorders, and 12 recommendations were for non-painful diseases/disorders. Locomotor system disorders were the most common in the painful diseases/disorders category. Out of all the recommendations for acupuncture, most recommendations(87.76%) were weak in strength, and most of the evidence(40.84%) was of low quality. Conclusion: In the National Guideline Clearinghouse, the recommendations for acupuncture focus on painful diseases/disorders. The recommendations in the guidelines are not high in strength, and most of the evidence is moderate or low in quality.展开更多
文摘To improve our health care services,promote balanced development of inter-regional and inter-disciplinary medical care skills,and effectively implement public hospital reform,the former Ministry of Health,State Chinese Medicine Administration Bureau and the Ministry of Finance allocated state funds in 2010 to support a National Clinical Key Specialty Construction Project.The project supports the acquisition of key equipment,personnel training and development of clinical diagnosis technology in order to develop high-quality medical resources and improve clinical services.Because of the important role nursing plays,clinical nursing and specialty care were also included in the project.The Chinese Nursing Association was commissioned to oversee this project,which awarded 211 million RMB to nursing disciplines in 86 hospitals representing all regions of China.This funding has supported the rapid development of nursing disciplines,the results of which are outlined and described in this review.
基金Supported by Project of Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture and Moxibustion(No.HBPCIC-2016-002)
文摘Objective: To organize the clinical practice guidelines(CPGs) related to acupuncture included in the National Guideline Clearinghouse(NGC) to systematically summarize the diseases and disorders most commonly treated with acupuncture, the strength of recommendations for acupuncture and the quality of evidence. Methods: The NGC database was systematically searched for guidelines that included acupuncture as an intervention. Two independent reviewers studied the summaries and the full texts of the guidelines and included guidelines based on the inclusion and exclusion criteria. Thirty-nine guidelines were collected with 80 recommendations. The Appraisal of Guidelines for Research and Evaluation(AGREE) Ⅱ instrument was used to assess the quality of these guidelines. Results: Of the 80 recommendations on acupuncture, 49 recommendations were clearly for acupuncture, 25 recommendations were against acupuncture and 6 recommendations did not indicate any clear recommendations, 37 recommendations were for painful diseases/disorders, and 12 recommendations were for non-painful diseases/disorders. Locomotor system disorders were the most common in the painful diseases/disorders category. Out of all the recommendations for acupuncture, most recommendations(87.76%) were weak in strength, and most of the evidence(40.84%) was of low quality. Conclusion: In the National Guideline Clearinghouse, the recommendations for acupuncture focus on painful diseases/disorders. The recommendations in the guidelines are not high in strength, and most of the evidence is moderate or low in quality.