制定循证指南的原则

各国都有自己的临床指南,用于规范医疗行为,中国亦在建立自已的临床指南.然而,从全世界多年的临床指南使用情况看,并未达到应有的指导效果.循证医学的发展,给指南的制定带来了根本性的转变,以证据为基础建立循证临床指南已在世界迅速兴起.作者根据苏格兰制定国家循证指南的经验,对循证指南的建立原则进行了探讨,以供国内同事参考.

The Principles of Developing Evidence-based Guideline

Every country has its own clinical guideline to standardize medical care, and China is developing guidelines too. Viewing the guideline's usage in the world over many years, we find that it hasn't achieved good effect. The development of evidence-based medicine brings a primal change to guideline development. The evidence-based clinical guidelines are arising in the world. We summarized the principle of developing evidence-based guideline according to the experience of Scotland to provide reference for domestic peers.