健康公平性在指南制订中的思考与方法学建议

高一城; 刘芷含; 陶立元; 曹蕊; 夏如玉; 冯玉婷; 方锐; 邓迎杰; 向文远; 费宇彤

doi:10.12290/xhyxzz.2023-0096

健康公平性在指南制订中的思考与方法学建议

doi: 10.12290/xhyxzz.2023-0096

高一城^{1, 2, 3},
刘芷含^{1, 2, 3},
陶立元⁴,
曹蕊^{1, 2, 3},
夏如玉^{1, 2, 3},
冯玉婷^{1, 2, 3},
方锐⁵,
邓迎杰⁵,
向文远⁵,
费宇彤^{1, 2, 3, ,}

1.
北京中医药大学循证医学中心，北京 100029
2.
北京中医药大学国际循证中医药研究院，北京 100029
3.
北京GRADE中心，北京 100029
4.
北京大学第三医院临床流行病研究中心，北京 100191
5.
新疆医科大学附属中医医院，乌鲁木齐 830000

基金项目:

新疆维吾尔自治区重点研发计划 2021B03006-4

详细信息

通讯作者:
FEI Yutong, E-mail: yutong_fei@163.com

中图分类号: R181.2
计量
- 文章访问数: 137
- HTML全文浏览量: 33
- PDF下载量: 40
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-24
- 录用日期: 2023-04-14
- 网络出版日期: 2023-05-10
- 刊出日期: 2023-11-30

Considerations and Methodological Suggestions on Health Equity in Clinical Practice Guideline Development

GAO Yicheng^{1, 2, 3},
LIU Zhihan^{1, 2, 3},
TAO Liyuan⁴,
CAO Rui^{1, 2, 3},
XIA Ruyu^{1, 2, 3},
FENG Yuting^{1, 2, 3},
FANG Rui⁵,
DENG Yingjie⁵,
XIANG Wenyuan⁵,
FEI Yutong^{1, 2, 3
, ,}

1.
Centre for Evidence-based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
2.
Institute for Excellence in Evidence-based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
3.
Beijing GRADE Center, Beijing 100029, China
4.
Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing 100191, China
5.
Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi 830000, China

Funds:

Key Research and Development Program of Xinjiang Uygur Autonomous Region 2021B03006-4

摘要

摘要: 健康公平性能够缩小不同群体之间的健康差异, 使公民享有公平的健康服务。目前, 指南制订者越来越重视对健康公平性的考虑, 并在指南制订的过程中进行了初步探索和应用。但现有指南制订过程对于健康公平性的结构化和系统化构建考虑较少, 其对未来指南制订的指导较有限。本文探讨在指南制订关键环节对健康公平性系统化构建进行深入思考的方法学建议, 以期为指南制订者提供参考。
- 健康公平性 /
- 临床实践指南 /
- 方法学
Abstract: Health equity can narrow the health gap between different groups and enable citizens to enjoy fair health services. Clinical practice guideline makers have been paying more and more attention to health equity, and exploring and applying the consideration to the development of corresponding guidelines. However, existing clinical practice guideline development gives little consideration to the structured and systematic construction of health equity, and the guidance for future guidelines is limited. This paper aims to put forward methodological suggestions for in-depth consideration of health equity in clinical practice guideline development, withthe hope of providing reference for guideline developers.
- health equity /
- clinical practice guidelines /
- methodology
注释:

作者贡献：高一城负责查阅资料、撰写论文；刘芷含、陶立元、曹蕊、夏如玉、冯玉婷、方锐、邓迎杰、向文远负责补充资料、修订论文；费宇彤负责论文结构设计、指导写作及审校。

利益冲突：所有作者均声明不存在利益冲突

HTML全文

参考文献(38)

[1]	Braveman P, Gruskin S. Defining equity in health[J]. J Epidemiol Community Health, 2003, 57: 254-258. doi: 10.1136/jech.57.4.254
[2]	Whitehead M. The concepts and principles of equity and health[J]. Int J Health Serv, 1992, 22: 429-445. doi: 10.2190/986L-LHQ6-2VTE-YRRN
[3]	World Health Organization. WHO handbook for guideline development (2nd edition). [EB/OL]. (2014-12-18)[2023-01-28]. https://www.who.int/publications/i/item/9789241548960.
[4]	National Institute for Health and Care Excellence. Developing Nice Guidelines the Manual[EB/OL]. (2020-10-05)[2023-01-22]. https://www.nice.org.uk/process/pmg20/chapter/introduction.
[5]	Scottish Intercollegiate Guidelines Network. A guideline developer's handbook[EB/OL]. (2019-11)[2023-01-22]. http://www.sign.ac.uk/.
[6]	Schünemann HJ, Wiercioch W, Etxeandia I, et al. Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise[J]. CMAJ, 2014, 186: E123-E142. doi: 10.1503/cmaj.131237
[7]	Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement[J]. Ann Intern Med, 2017, 166: 128-132. doi: 10.7326/M16-1565
[8]	Policy brief by the HLCP Inequalities Task Team. Tackling inequalities in public service coverage to "build forward better" for the rural poor. [EB/OL]. (2021-12-17)[2023-01-22]. https://www.who.int/publications/m/item/tackl-ing-inequalities-in-public-service-coverage-to-build-forward-better-for-the-rural-poor.
[9]	National Center for Health Statistics. Healthy People 2020 Progress by Population Group[EB/OL]. (2020-12-14)[2023-01-22]. https://www.cdc.gov/nchs/healthy_people/hp2020-final-review.htm.
[10]	Marmot M, Commission on Social Determinants of Health. Achieving health equity: from root causes to fair outcomes[J]. Lancet, 2007, 370: 1153-1163. doi: 10.1016/S0140-6736(07)61385-3
[11]	Tarlov A. Social Determinants of Health: the sociobiological ranslation[M]. London: Routledge, 1996.
[12]	O'Neill J, Tabish H, Welch V, et al. Applying an equity lens to interventions: using PROGRESS ensures considera-tion of socially stratifying factors to illuminate inequities in health[J]. J Clin Epidemiol, 2014, 67: 56-64. doi: 10.1016/j.jclinepi.2013.08.005
[13]	Oliver S, Kavanagh J, Caird J, et al. Health promotion, inequalities and young people's health. A systematic review of research[EB/OL]. (2008-10)[2023-03-29]. https://discovery.ucl.ac.uk/id/eprint/10018803/.
[14]	Oliver S, Dickson K, Gough D, et al. An introduction to systematic reviews[M]. London: SAGE Publications, 2012.
[15]	Alonso-Coello P, Schünemann HJ, Moberg J, et al. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: Introduction[J]. BMJ, 2016, 353: i2016.
[16]	Welch VA, Akl EA, Guyatt G, et al. GRADE equity guidelines 1: considering health equity in GRADE guideline development: introduction and rationale[J]. J Clin Epidemiol, 2017, 90: 59-67. doi: 10.1016/j.jclinepi.2017.01.014
[17]	Akl EA, Welch V, Pottie K, et al. GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist[J]. J Clin Epidemiol, 2017, 90: 68-75. doi: 10.1016/j.jclinepi.2017.01.017
[18]	Welch VA, Akl EA, Pottie K, et al. GRADE equity guidelines 3: considering health equity in GRADE guideline development: rating the certainty of synthesized evidence[J]. J Clin Epidemiol, 2017, 90: 76-83. doi: 10.1016/j.jclinepi.2017.01.015
[19]	Pottie K, Welch V, Morton R, et al. GRADE equity guidelines 4: considering health equity in GRADE guideline development: evidence to decision process[J]. J Clin Epidemiol, 2017, 90: 84-91. doi: 10.1016/j.jclinepi.2017.08.001
[20]	Barnabe C, Pianarosa E, Hazlewood G. Informing the GRADE evidence to decision process with health equity considerations: demonstration from the Canadian rheumatoid arthritis care context[J]. J Clin Epidemiol, 2021, 138: 147-155. doi: 10.1016/j.jclinepi.2021.06.013
[21]	Mann RM, Athanasiou A, Baltzer PAT, et al. Breast cancer screening in women with extremely dense breasts recommendations of the European Society of Breast Imaging (EUSOBI)[J]. Eur Radiol, 2022, 32: 4036-4045. doi: 10.1007/s00330-022-08617-6
[22]	Saur NM, Davis BR, Montroni I, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Perioperative Evaluation and Management of Frailty Among Older Adults Undergoing Colorectal Surgery[J]. Dis Colon Rectum, 2022, 65: 473-488. doi: 10.1097/DCR.0000000000002410
[23]	中华医学会糖尿病学分会, 国家基层糖尿病防治管理办公室. 国家基层糖尿病防治管理指南(2018)[J]. 中华内科杂志, 2018, 57: 885-893. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202224017.htm
[24]	Goodman SM, Springer B, Guyatt G, et al. 2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty[J]. J Arthroplasty, 2017, 32: 2628-2638. doi: 10.1016/j.arth.2017.05.001
[25]	Palda VA, Davis D, Goldman J. A guide to the Canadian Medical Association Handbook on Clinical Practice Guide-lines[J]. CMAJ, 2007, 177: 1221-1226. doi: 10.1503/cmaj.070880
[26]	Harris JS, Weiss MS, Haas NS, et al. Methodology for ACOEM's Occupational Medicine Practice Guidelines-2017 Revision[J]. J Occup Environ Med, 2017, 59: 913-919. doi: 10.1097/JOM.0000000000001109
[27]	Chung SA, Gorelik M, Langford CA, et al. 2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Polyarteritis Nodosa[J]. Arthritis Care Res (Hoboken), 2021, 73: 1061-1070. doi: 10.1002/acr.24633
[28]	高建民, 杨金娟. 健康公平性概述[J]. 卫生经济研究, 2014(10): 51-54. doi: 10.14055/j.cnki.33-1056/f.2014.10.012
[29]	Groff ML, Offringa M, Emdin A, et al. Publication trends of pediatric and adult randomized controlled trials in general medical journals, 2005-2018: a citation analysis[J]. Children (Basel), 2020, 7: 293.
[30]	National Institutes of Health. NIH Policy and Guidelines on the Inclusion of Children as Participants in Research involving Human Subjects[EB/OL]. (2015-10-13) [2023-01-20]. https://grants.nih.gov/grants/guide/notice-files/not98-024.html.
[31]	Neumann I, Izcovich A, Aguilar R, et al. ASH, ABHH, ACHO, Grupo CAHT, Grupo CLAHT, SAH, SBHH, SHU, SOCHIHEM, SOMETH, Sociedad Panameña de Hematología, SPH, and SVH 2021 guidelines for management of venous thromboembolism in Latin America[J]. Blood Adv, 2021, 5: 3032-3046. doi: 10.1182/bloodadvances.2021004267
[32]	Coronado G, Chio-Lauri J, Cruz RD, et al. Health Disparities of Cardiometabolic Disorders Among Filipino Americans: Implications for Health Equity and Community-Based Genetic Research[J]. J Racial Ethn Health Disparities, 2022, 9: 2560-2567. doi: 10.1007/s40615-021-01190-6
[33]	Welch V, Petticrew M, Tugwell P, et al. PRISMA-Equity Bellagio group. PRISMA-Equity 2012 extension: reporting guidelines for systematic reviews with a focus on health equity[J]. PLoS Med, 2012, 9: e1001333. doi: 10.1371/journal.pmed.1001333
[34]	Ogilvie D, Egan M, Hamilton V, et al. Systematic reviews of health effects of social interventions: 2. Best available evidence: how low should you go?[J]. J Epidemiol Community Health, 2005, 59: 886-892. doi: 10.1136/jech.2005.034199
[35]	Kanter J, Liem RI, Bernaudin F, et al. American Society of Hematology 2021 guidelines for sickle cell disease: stem cell transplantation[J]. Blood Adv, 2021, 5: 3668-3689. doi: 10.1182/bloodadvances.2021004394C
[36]	Al-Hameed F, Al-Dorzi HM, AlMomen A, et al. Prophyl-axis and treatment of venous thromboembolism in patients with cancer: the Saudi clinical practice guideline[J]. Ann Saudi Med, 2015, 35: 95-106. doi: 10.5144/0256-4947.2015.95
[37]	Shekelle PG. Clinical Practice Guidelines: What's Next?[J]. JAMA, 2018, 320: 757-758. doi: 10.1001/jama.2018.9660
[38]	Domecq JP, Prutsky G, Elraiyah T, et al. Patient engagement in research: a systematic review[J]. BMC Health Serv Res, 2014, 14: 89. doi: 10.1186/1472-6963-14-89

施引文献

资源附件(0)

访问统计

点击查看大图

计量

文章访问数: 137
HTML全文浏览量: 33
PDF下载量: 40
被引次数: 0

姓名
邮箱
手机号码
标题
留言内容
验证码

地址：	北京市东城区帅府园1号北京协和医院老楼7号楼 3层302室《协和医学杂志》编辑部
电话：	010-69154261/4262
E - mail：	medj@pumch.cn mjpumch@126.com
期刊网站版权所有：	《协和医学杂志》编辑部京ICP备 11002662

留言板

健康公平性在指南制订中的思考与方法学建议

doi: 10.12290/xhyxzz.2023-0096

通讯作者:
FEI Yutong, E-mail: yutong_fei@163.com

计量

Considerations and Methodological Suggestions on Health Equity in Clinical Practice Guideline Development

计量

目录

留言板

健康公平性在指南制订中的思考与方法学建议

doi: 10.12290/xhyxzz.2023-0096

通讯作者: FEI Yutong, E-mail: yutong_fei@163.com

计量

出版历程

Considerations and Methodological Suggestions on Health Equity in Clinical Practice Guideline Development

计量

出版历程

目录

通讯作者:
FEI Yutong, E-mail: yutong_fei@163.com