梁昌昊, 尹冠翔, 王雅琪, 刘思岐, 高一城, 刘鹏伟, 苏祥飞, 费宇彤. 中医药临床实践指南制订和修订中德尔菲法应用的方法流程及建议[J]. 协和医学杂志, 2023, 14(5): 1084-1090. DOI: 10.12290/xhyxzz.2022-0649
引用本文: 梁昌昊, 尹冠翔, 王雅琪, 刘思岐, 高一城, 刘鹏伟, 苏祥飞, 费宇彤. 中医药临床实践指南制订和修订中德尔菲法应用的方法流程及建议[J]. 协和医学杂志, 2023, 14(5): 1084-1090. DOI: 10.12290/xhyxzz.2022-0649
LIANG Changhao, YIN Guanxiang, WANG Yaqi, LIU Siqi, GAO Yicheng, LIU Pengwei, SU Xiangfei, FEI Yutong. Application of Delphi Method in the Development and Revision of Clinical Practice Guidelines of Traditional Chinese Medicine: Process and Suggestions[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1084-1090. DOI: 10.12290/xhyxzz.2022-0649
Citation: LIANG Changhao, YIN Guanxiang, WANG Yaqi, LIU Siqi, GAO Yicheng, LIU Pengwei, SU Xiangfei, FEI Yutong. Application of Delphi Method in the Development and Revision of Clinical Practice Guidelines of Traditional Chinese Medicine: Process and Suggestions[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1084-1090. DOI: 10.12290/xhyxzz.2022-0649

中医药临床实践指南制订和修订中德尔菲法应用的方法流程及建议

Application of Delphi Method in the Development and Revision of Clinical Practice Guidelines of Traditional Chinese Medicine: Process and Suggestions

  • 摘要: 在临床实践指南的制订和修订过程中, 共识法是确定临床问题和形成推荐意见的重要方法, 其中以德尔菲法和改良德尔菲法最为常见。为此, 如何科学、规范地应用德尔菲法达成共识(如专家组人员选择、流程设计等)已成为当下亟待研究的重要问题。应用德尔菲法的过程中, 需借鉴国际上较为成熟的方法学建议, 以使共识形成过程结构化、透明化。本文以德尔菲法在中医药临床实践指南制订和修订中的应用为切入点, 阐述其基本流程和关键要素。在德尔菲法主体方面详细阐述了共识组的人数及构成、选取标准及途径、患者参与共识的方式和要点, 在技术要点方面对其匿名性、达成共识的阈值、时间把控进行了阐释, 进而指出德尔菲法应用的局限性及报告要点, 以期促进德尔菲法在指南制订中的规范应用。

     

    Abstract: In the process of developing clinical practice guidelines, consensus method is essential to determine clinical problems and recommendations, among which Delphi method and modified Delphi method are the most common. Therefore, scientific and standardized application of Delphi method to reach a consensus (such as expert selection, process design) has become an important topic in urgent need of study. In the process of using Delphi method, it is necessary to refer to mature methodological suggestions to make theconsensus process structured and transparent. This article focuses on the key elements of Delphi method in the development of clinical practice guidelines, and elaborates its basic methods and processes, including the number, composition, standards and selection methods of the "expert group", as well as the key points of patients' participation. In terms of technical points, anonymity, consensus threshold and time control are described. Furthermore, the limitations of Delphi method and the highlights of the report are presented, in order to promote the standardized application of Delphi method in the development of the guidelines.

     

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