关英杰,刘建平,金雪晶,常文婧1,李云,冯雪,段笑娇,刘鹏伟,苏祥飞,陈薇.中医药临床实践指南中经济性证据的获取[J].,2023,43(5):605-612 |
中医药临床实践指南中经济性证据的获取 |
Acquisition of Economic Evidence in Chinese Medicine Clinical Practice Guidelines |
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DOI:10.7661/j.cjim.20230222.003 |
中文关键词: 临床实践指南 中医药 经济性证据 获取流程 |
英文关键词:clinical practice guidelines Chinese medicine economic evidence acquisition |
基金项目:国家中医药管理局中医药标准化项目(No.GZY-FJS-2022-038) |
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中文摘要: |
临床实践指南的推荐意见不仅要将健康效益最大化,还要具有经济性。因此,在指南制订过程中应引入经济性证据。获取经济性证据的流程,包括:(1)有卫生经济学方面的专家参与;(2)形成初始问题清单时确定经济问题;(3)检索经济学评价研究;(4)筛选经济学评价研究;(5)提取资料;(6)综合经济性研究证据;(7)选出关键的经济问题做进一步探索;(8)建立模型;(9)收集定性成本信息。本文旨在为中医药指南制订中引入经济性证据提供借鉴和参考。 |
英文摘要: |
Clinical practice guidelines instruct physician to make medical decisions for optimal outcomes,not only to maximize health benefits,but also to recommend cost-effective treatments. Therefore,economic evidence needs to be included in the guideline development. This paper introduces the process of acquiring economic evidence with a total of 9 steps as follow:(1)to include health economists in the CPG/consensus committee;(2)to determine which financial issues to be added to the initial list of clinical questions;(3)to search economic evaluations;(4)to select economic evaluations;(5)to extract data;(6)to synthesize evidence;(7)to screen out key economic issues and determine which economic issues require further exploration;(8)to build economic models for key issues;(9)to collect qualitative cost information. It is hoped to provide reference for Chinese medicine clinical practice guidelines including economic evidence in the future. |
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