Exploring the Essential Factors of Applying the Consensus Methods in the Development of Chinese Medicine Guidelines: A Qualitative Interview
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摘要: 目的 探索共识法在中医药指南制订中的关键要素,为改善共识的规范性和客观性提供方法学建议,为未来指南制订中共识法的规范应用提供新思路。 方法 采用半结构化定性访谈方法,对指南牵头人、工作组以及共识组进行访谈,探讨影响共识可信度的因素及对共识主体构成和共识过程的看法。 结果 共进行了26次访谈,对访谈内容进行归纳和整理,形成212条编码,深化为5个领域,分别为组建共识组、患者参与、会议主持人、准备共识及共识影响因素;概括了组建共识组的3个基本步骤,以及共识法应用的17个基本考虑。 结论 在指南制订过程中,建议增加共识前的方法学培训,方法学家全程参与,鼓励专家合理看待分歧,重视指南制订方法学和证据材料,公开共识组遴选过程、增加患者参与、管理和报告利益冲突,以减少偏倚,提高共识的透明性、可靠性和科学性。Abstract: Objective This study explores the essential factors during the consensus process in guideline development, aiming to improve the quality of the consensus process by providing methodological suggestions for enhancing standardization. Methods Semi-structured qualitative interviews were used to interview guideline leaders, working groups and consensus groups to explore the relevant factors affecting the credibility of the consensus and their views on the composition and process of the consensus method. Results The researchers interviewed 26 individuals. After summarization, 212 codes were deepened into five areas:establishment of a consensus group, patient participation, meeting moderator, preparation of consensus and the influencing factors of consensus. Summarized the three basic steps of constructing a consensus group and the 17 basic principles of the application of the consensus method. Conclusion In the future guideline development, it is recommended to increase the methodological training before the consensus process and the full participation of methodologists, encourage experts to treat differences reasonably, pay attention to the methodology and evidence materials. The process should involve openly disclosing the selection of consensus group members, increasing patient participation, and managing and reporting conflicts of interest to reduce bias and enhance transparency, reliability, and scientific rigor of consensus outcomes.
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