临床实践指南的可执行性:对指南可执行性的综合框架 (CFGI) 的审查和开发
Dongmei Zhong1, Yimin Wu2, Gregory A Aarons3
1Dermatology Hospital, Southern Medical University, Guangzhou, China.
Implementation science communications
|October 17, 2025
概括
开发了一个新的临床实践指南 (CPG) 可实施性的框架. 这一框架增强了医疗保健环境中CPG的采用和应用.
科学领域:
- 医疗保健政策 医疗保健政策
- 临床实践指南 临床实践指南
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床实践指南 (CPG) 的可实施性对于在临床环境中采用至关重要.
- 现有的框架可能无法全面解决指导方针的可执行性.
- 需要一个系统的方法来开发一个强大的可实施性框架.
研究的目的:
- 创建一个全面和基于证据的指导方针可执行性框架 (CFGI).
- 为开发和实施未来的CPG建立一个理论基础.
- 加强在各种医疗环境中推广和应用指南.
主要方法:
- 一种混合方法的方法,整合了系统文献审查,外部咨询和自然语言处理.
- 对六个数据库进行系统的文献审查,以形成最初的框架.
- 在国际会议上通过专家反进行外部验证.
主要成果:
- 最终的CFGI包括6个核心领域和21个结构,涵盖范围,清晰度,证据库,结构,开发和实施环境.
- 15项研究为最初的框架提供了信息,来自16个利益相关者的反.
- 由29名专家进行的外部验证证实了CFGI的合理性,重要性,明确性,可行性和必要性.
结论:
- 开发的CFGI为未来的CPG开发和实施提供了系统的理论基础.
- 预计CFGI将提高指导方针的可执行性,并促进其在临床实践中的使用.
- 建议进行进一步的研究,以在现实环境中验证和应用CFGI.
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