[基于理论领域框架的中国临床实践指南实施影响因素的定性系统评估]
Xu-Dong Zhang1, Ju-Wen Zhang1, Fan-Ya Yu1
1Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine Beijing 100029, China.
概括
实施传统中医药 (TCM) 准则有效需要解决证据质量和培训等关键因素. 优化TCM指导方针的制定和实施对于改善医疗保健质量和患者安全至关重要.
科学领域:
- 基于证据的医学
- 改善医疗保健的质量
- 传统中国医学 (TCM)
背景情况:
- 临床实践指南 (CPG) 对基于证据的医学至关重要,旨在提高医疗保健质量和患者安全.
- 预期结果与传统中医指导方针的实际实施之间存在很大的差距.
- 需要对影响因素进行系统的调查,以优化TCM指南的实施.
研究的目的:
- 确定影响中国CPG实施的因素.
- 将理论领域框架 (TDF) 适应当地环境.
- 整合TCM特定特征以优化指南的制定和实施.
主要方法:
- 在多个数据库 (CNKI,Wanfang,VIP,SinoMed,PubMed,EMbase) 进行系统的文献搜索,直到2024年3月.
- 包括关于CPG实施因素的定性和混合方法研究.
- 使用关键评价技能计划 (CASP) 工具进行方法性质量评估;通过框架和主题分析进行综合分析;专家共识会议.
主要成果:
- 这项研究对2388名参与者进行了16项研究,证明了良好的方法质量.
- 根据TDF,在14个领域中确定了43个影响因素.
- 关键因素包括指导证据质量,培训,领导支持,适用性,清晰度和物质资源;TCM特定因素包括治疗优势,综合征差异化和治疗可行性.
结论:
- 对于高质量,明确和可行的建议,TCM指南的制定必须包含独特的影响因素.
- 医疗保健和学术机构应在出版后加强培训,传播和资源的可用性.
- 优化TCM指南的实施对于改善医疗保健质量和患者安全至关重要.
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