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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

梁昌昊 尹冠翔 王雅琪 刘思岐 高一城 刘鹏伟 苏祥飞 费宇彤

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

doi: 10.12290/xhyxzz.2022-0649
基金项目: 

新疆维吾尔自治区重点研发计划 2022B03011-4

中华中医药学会研究与评价专项课题 CACMRE2021-A-04

详细信息
    通讯作者:

    费宇彤, E-mail: yutong_fei@163.com

  • 中图分类号: R181.2

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

Funds: 

Xinjiang Uygur Autonomous Region Key Research and Development Program 2022B03011-4

China Association of Traditional Chinese Medicine Research and Evaluation Special Project CACMRE2021-A-04

More Information
  • 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。
    作者贡献:梁昌昊负责查阅资料、撰写论文;尹冠翔、王雅琪、刘思岐负责查阅资料、修订论文;高一城、刘鹏伟、苏祥飞负责论文初稿修订;费宇彤负责指导论文写作及审校。
    利益冲突:所有作者均声明不存在利益冲突
  • 表  1  不同类型德尔菲法的主要特征

    类型 主要特征
    经典德尔菲法[19] 采用第1轮意见征集以促进想法产生,征求意见并获得共识,一般为2~4轮,可通过电子邮件等形式进行征集
    改良德尔菲法[20] 改良德尔菲法联合应用了德尔菲法和名义小组法或共识会议法,促进了小组成员之间的接触,以更快达成共识
    政策德尔菲法[21] 遵循经典德尔菲法流程,重点是在政策问题上引出共同与分歧的观点和意见,并就未来的政策达成共识
    实时德尔菲法[22] 应用特殊软件对专家进行实时调查,对专家提出的意见进行实时更新,在规定的研究时间内,可根据需要审查、评论、修改意见和评价
    下载: 导出CSV

    表  2  判断标准的量化

    判断标准 对该领域的信心
    理论分析 0.30 0.20 0.10
    实践经验 0.45 0.35 0.20
    国内外参考文献 0.20 0.15 0.10
    本能选择 0.05 0.05 0.05
    下载: 导出CSV

    表  3  熟悉程度的量化

    熟悉程度
    极其熟悉 1.0
    非常熟悉 0.8
    一般熟悉 0.6
    一般不熟悉 0.4
    比较不熟悉 0.2
    极其不熟悉 0
    下载: 导出CSV
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出版历程
  • 收稿日期:  2022-11-15
  • 录用日期:  2023-01-16
  • 网络出版日期:  2023-05-31
  • 刊出日期:  2023-09-30

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