中西医结合临床实践指南实施框架构建的思考

Development of the Implementation Framework of Integrative Chinese Medicine Clinical Practice Guideline

摘要: 中西医结合临床实践指南作为医学实践的重要指导性文件，是发挥中西医各自优势，促进中西医结合的重要抓手。然而目前中西医结合指南的研究存在“重研制”而“轻实施”的问题，依据实施科学的理论框架，构建中西医结合临床实践指南实施框架和方法，有利于促进中西医结合指南的实施和中西医临床的融合与发展。本文通过梳理和分析知识-行动框架，对中西医结合指南实施框架的研发思路展开讨论和思考，以期为未来相关研究奠定基础。

Abstract: As an important guidance of medical practice, clinical practice guideline of integrative Chinese medicine (ICM-CPG) plays an extremely important role in showing the respective advantages of Chinese and Western medicine and in promoting the integrated Chinese and Western medicine. However, the research status on ICM-CPG is faced with the problem of emphasizing development but neglecting implementation. The establishment of ICM-CPG implementation model based on the theoretical framework of implementation science is conducive to promoting the implementation of ICM-CPG and advancing the integration and development of Chinese and Western medicine. In this paper, by sorting out and analyzing the knowledge to action (KTA) framework, we discuss the implementation framework development of ICM-CPG in order to provide reference for future research.