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2019年期刊公开发表的中国临床实践指南文献调查与评价——传播与实施情况

Investigation and Evaluation of Chinese Clinical Practice Guidelines Published in Medical Journals in 2019: Analysis on Dissemination and Implementation

    摘要
  • 摘要:
      目的  分析2019年期刊公开发表的中国临床实践指南传播与实施情况，为推动我国临床实践指南的转化与落地提供建议。
      方法  针对2019年期刊公开发表的中国临床实践指南传播与实施相关内容报告情况，以及指南多期刊、多版本、多语种发表情况进行分析。同时，分析2019年中国临床实践指南解读类文献的发表情况，进一步了解我国指南的传播与实施现状。
      结果  2019年期刊公开发表的中国临床实践指南共226篇，仅5.8%(13/226)报告了传播与实施相关内容。共报告了12种传播与实施策略，其中通过学术会议及多媒体平台促进指南传播与实施被报告的次数最多，在8篇指南中均进行了报告。在传播与实施策略的应用方面，12.4%(28/226)的指南在多本期刊上公开发表，9.3%(21/226)的指南发表了不同版本，8.4%(19/226)的指南分别以中、英文语种进行发表。对2019年中国指南的解读类文献进行检索，共纳入48篇文献，分别对30篇(13.3%，30/226)指南进行了解读。指南与解读类文献发表的中位时间间隔为5.5个月。
      结论  2019年期刊公开发表的中国临床实践指南中传播与实施的报告率及相关策略的应用率均较低，建议指南制订者在指南制订过程中应制订有针对性、形式多样的传播与实施策略，并在撰写时遵循相应的报告规范。

     

    Abstract:
      Objective  To analyze the status of dissemination and implementation of Chinese clinical practice guidelines published in medical journals in 2019, and to propose suggestions on promoting the dissemination and implementation of Chinese guidelines in the future.
      Methods  We analyzed Chinese guidelines published in 2019 on the following aspects: reporting the dissemination and implementation; being published in multiple journals, editions and languages. Besides, we also searched published interpretation reports related to 2019 Chinese guidelines so as to understand the status of dissemination and implementation of guidelines in China.
      Results  A total of 226 Chinese guidelines published in medical journals in 2019 were identified. Only 5.8% (13/226) reported the information on dissemination and implementation with 12 different strategies. Dissemination and implementation by academic conferences and social media were mostly mentioned and reported in 8 guidelines. As for the application of the strategies of dissemination and implementation, 12.4% (28/226) published in different journals; 9.3% (21/226) published different editions; 8.4% (19/226) published both English and Chinese versions. After search and screening, we included 48 interpretation reports, which interpreted 30 (13.3%, 30/226) Chinese guidelines. The median interval of publication time between the guideline and interpretation study was 5.5 months.
      Conclusions  The reporting rate of dissemination and implementation and the application of related strategies of Chinese guidelines published in 2019 were relatively low. We suggest that guideline developers should develop specific and detailed strategies on guideline dissemination and implementation, and follow the reporting guidance.

     

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