Research on the promotion of clinical practice guidelines implementation (V): evalua-tion of clinical guidelines implementation and expert consensus on Traditional Chinese Medicine/Integrated Traditional Chinese and Western Medicine

Abstract

Objective Evaluate the quality of implementation of Traditional Chinese Medicine (TCM)/Integrated Traditional Chinese and Western Medicine (IM) clinical guidelines and expert con-sensus published at home and abroad using the “Clinical Practice Guideline (CPG) implementation evaluation tool”, understand the implementation of TCM/IM CPGs and expert consensus, provide a ref-erence for TCM/IM guidelines implementation and promotion.Methods CNKI, Wanfang Data, PubMed, and Medive databases were systematically searched, to collect original TCM/IM guidelines/consensus. The “CPG implementation evaluation tool” was applied to evaluate the implementation of the included TCM/IM guidelines.Results A total of 231 guidelines/consensus were included, consisting of 119 guidelines and 112 expert consensus. In general, the implementation quality of most TCM/IM guide-lines/consensus is low (90.91%).Conclusion The implementation of TCM/TCM CPGs/expert consen-sus still needs to be improved. Incorporating implementation science into the guideline formulation process, managing and guiding formulation from the source, and optimizing the presentation and dis-semination strategies of the guidelines can promote the implementation of guidelines/consensus appli-cation.

Keywords

• traditional chinese medicine
• integrated traditional chinese and western medicine
• clinical guidelines
• expert consensus
• implementation