Zhongguo quanke yixue (Apr 2023)
Investigation, Analysis and Suggestions on the Preparation and Revision of Clinical Diagnosis and Treatment Guidelines of Traditional Chinese Medicine
Abstract
Background At the end of 2014, the department of policies, regulations and supervision of the State Administration of traditional Chinese medicine carried out started to the preparation development and revision of clinical diagnosis and treatment guidelines of traditional Chinese medicine at the end of 2014, and made progressdeveloped in 240 clinical diagnosis and treatment guidelines of traditional Chinese medicine in 13 specialized fields. The Chinese society of traditional Chinese medicine undertookakes this part of the work. Objective In order to understand the current situation of the preparation development and revision of clinical diagnosis and treatment guidelines for in the field of traditional Chinese medicine, analyze the problems existing in the work of thethis project team from the perspective of methodology and give suggestions, this project team conducted investigated research on the preparation development and revision project team of clinical diagnosis and treatment guidelines of developed by traditional Chinese medicine of the Chinese Academy of traditional Chinese medicine. Methods The survey will be conducted from June to December 2020. The survey object participants are is the project groups of the preparation development and revision of the clinical diagnosis and treatment guidelines of Chinese medicine of the Chinese Society of Traditional Chinese Medicine. Each project team member of this project team finishedlls in a questionnaire, and finally gathers the overall opinions of the project team were collected. The Chinese Society of Traditional Chinese Medicine issued a notice to invite all project teams to participate in the survey by means ofusing questionnaire star electronic questionnaire, and finally collected the answers on the network. Focusing Based on the research theme, the questionnaire includes five aspects: 1. understanding of the clinical diagnosis and treatment guidelines of for traditional Chinese medicine; 2. guide preparation development and revision procedures and application of methodology application; 3. key issues and key links steps in the preparation development and revision of the guidelines; 4. implementation, promotion and application of the guidelines; 5. overall investigation on about the guidelines preparation development and revision of the guidelines. The questionnaire is semi-structured, with 30 structured questions and 4 open questions. After the completion of the survey, the researchers conducted data summary and descriptive analysis on the results after survey. Results The survey finally recovered collected 198 valid questionnaires. The survey results suggest that most project teams (94.45%, 187/198) think that more clinical diagnosis and treatment guidelines of for traditional Chinese medicine are still needed in this field, and the coverage of clinical diagnosis and treatment guidelines of traditional Chinese medicine is still not wide enough, and the clinical application is poor; In terms of the procedures for the preparation development and revision of the guidelines and the application of methodology application, 99.49% (197/198) of the project teams followed the technical plan for the preparation development and revision of the guidelines, and 99.49% (197/198) of the project teams had methodological experts participating in the whole process. In terms of the key issues and key linkssteps in the preparation development and revision of the guidelines, most project teams believed that the main difficulties difficulties mainly focus on theare lack of high-quality clinical research evidence support (89.39%, 177/198), the lack of methodological tools consistent with the characteristics of traditional Chinese medicine (70.20%, 139/198), the difficulty in unifying clinical classification standards (66.16%, 131/198), and the absence of fixed standards for the selection and dosage of prescriptions and drugs (60.61%, 119/198). In terms of the implementation, promotion and application of the guidelines, 71.21% (141/198) of the project team believed that the promotion and application were in line with expectations, but there were also some difficulties in promotion and application; In terms of overall research investigation on about the preparation development and revision of the guidelines, the vast majority (96.97%, 192/198) of the project teams said that they had invested a lot of human, material, energy and other resources in the preparation development and revision of the guidelines. Conclusion Most project teams thought clinical diagnosis and treatment guidelines for traditional Chinese medicine had significant guidance in clinical practice, and each project team face some problems and difficulties in guideline development and revisions. We give proposed the following suggestions: in the future, attention should be paid to the preparation development and revision of the guidelines, and relevant financial support should be increased; during the preparation development and revision of clinical diagnosis and treatment guidelines of traditional Chinese medicine, all working groups need to have methodological experts participate in the whole process and control the quality; increase training on evidence-based medicine and the formulation of clinical diagnosis and treatment guidelines; strictly follow the latest technical solutions and methodological processes; during the preparation development and revision of the guidelines, we should pay attention to the characteristics of traditional Chinese medicine diagnosis and treatment, and aim at clinical practicality and applicability, in order to improve the quality of clinical diagnosis and treatment guidelines of traditional Chinese medicine and promote traditional Chinese medicine to better serve people's health.
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