王琪, 罗旭飞, 王子君, 杨楠, 朱迪, 李哲玮, 辛鑫, 杨振华, 王玲, 史乾灵, 陈耀龙. WHO智慧指南:指南制订和实施的新方向[J]. 协和医学杂志, 2023, 14(4): 868-874. DOI: 10.12290/xhyxzz.2023-0274
引用本文: 王琪, 罗旭飞, 王子君, 杨楠, 朱迪, 李哲玮, 辛鑫, 杨振华, 王玲, 史乾灵, 陈耀龙. WHO智慧指南:指南制订和实施的新方向[J]. 协和医学杂志, 2023, 14(4): 868-874. DOI: 10.12290/xhyxzz.2023-0274
WANG Qi, LUO Xufei, WANG Zijun, YANG Nan, ZHU Di, LI Zhewei, XIN Xin, YANG Zhenhua, WANG Ling, SHI Qianling, CHEN Yaolong. WHO SMART Guidelines: A New Direction for Guideline Development and Implementation[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 868-874. DOI: 10.12290/xhyxzz.2023-0274
Citation: WANG Qi, LUO Xufei, WANG Zijun, YANG Nan, ZHU Di, LI Zhewei, XIN Xin, YANG Zhenhua, WANG Ling, SHI Qianling, CHEN Yaolong. WHO SMART Guidelines: A New Direction for Guideline Development and Implementation[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 868-874. DOI: 10.12290/xhyxzz.2023-0274

WHO智慧指南:指南制订和实施的新方向

WHO SMART Guidelines: A New Direction for Guideline Development and Implementation

  • 摘要: 世界卫生组织(World Health Organization,WHO)指南历经数十年的发展与革新,制订方法和质量均在不断完善。然而,常规指南的实施仍存在一些问题,包括从制订到实施的时间周期较长、推荐意见准确性和一致性可能受损以及部分国家支持指南改编和实施能力有限等。因此,指南的推荐意见无法达到预期效果。随着数字健康系统的发展,WHO及其成员国意识到数字化指南的重要性,推出了智慧指南。这一新方法可在数字时代加速循证指南的实施,提高其依从性和可实施性,改善卫生保健质量和人群健康结局。本文旨在介绍WHO智慧指南的背景、定义、框架和构成,并以产前保健智慧指南为例对其进行解读。

     

    Abstract: The quality and methodology of guidelines developed by the World Health Organization (WHO) have been continuously improved after decades of development and reform. However, the implementation of conventional guidelines faces certain challenges, including lengthy timelines, the possible loss of accuracy and consistency of recommendations, and limited capacity of some countries to support guideline adaptation and implement. As a result, the expected effects of guideline recommendations may not be fully achieved. As many countries are investing heavily in digital health systems, both the WHO and its Member States have recognized the importance of digital implementation of guidelines and developed the SMART Guidelines. As a new approach, SMART Guidelines can accelerate the implementation of evidence-based recommendations in the digital age, enhance their compliance and implementability, and improve healthcare quality and population outcomes. This article aims to provide an overview of the background, definition, framework, and knowledge layers of the WHO SMART Guidelines, using antenatal care guidelines as an example for interpretation.

     

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