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YE Ziying, TIAN Chen, YAN Yilong, LI Qiaofeng, NING Jinling, LI Tingting, GE Long. Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0198
Citation: YE Ziying, TIAN Chen, YAN Yilong, LI Qiaofeng, NING Jinling, LI Tingting, GE Long. Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine[J]. Medical Journal of Peking Union Medical College Hospital. doi: 10.12290/xhyxzz.2023-0198
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Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine

doi: 10.12290/xhyxzz.2023-0198

  • 1 Evidence-based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, China;

  • 2 Department of Social Science and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China;

  • 3 Laboratory of Evidence-based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, China;

  • 4 WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, China

Funds:

China Academy of Chinese Medical Sciences Innovation Fund (CI2021A05502)

  • Received Date: 2023-04-15
    Available Online: 2023-06-26
    Abstract
  • Objective This study aims to systematically assess the applicability of the clinical practice guidelines (CPGs) integrating Chinese and Western medicine, thereby providing a reference point for enhancing their future usability. Methods PubMed, Web of Science, Embase， SinoMed, WanFang Data, and CNKI databases were searched for guidelines for integration of Chinese and Western medicine, supplemented by searches of the Dangdang, Chinese Medical Association, Chinese Medicine Administration, MedSci websites, Website of China Association of Chinese Medicine, medlive, Chinese Association of Integrative Medicine and World Federation of Traditional Chinese Medicine Societies from inception to December 31, 2022. Four reviewers independently evaluated the implementability of clinical practice guidelines by using “Clinical Practice Guideline (CPG) implementation evaluation tool”. Results A total of 61 integrative Chinese and Western Medicine guidelines were included. Of the guidelines assessed, 9 guidelines (14.75%) exhibited strong implementability, 39 (63.93%) demonstrated average implementability, and 12 (19.67%) demonstrated poor implementability. Among the 5 domains, the dimensions of "accessibility" and "implementability" were found to be of high quality, while "communication", "ease of identification" and "applicability" were relatively poor. Notably, compared to guidelines published before 2016, those published between 2017-2022 showed improvements in the areas of “identification” and “application”. Conclusion The implementabilityof the existing clinical practice guidelines of the integrative Chinese and Western Medicine is average and needs to be improved. In the future, emphasis should be placed on the integration of medical education and research, increasing the publicity of the guidelines, strengthening the application of the guidelines by clinicians, enhancing continuing medical education and training, presenting recommendations in a more concise form, and improving the implementability of the integrative Chinese and Western Medicine guideline.
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    • References(30)
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