Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine

YE Ziying; TIAN Chen; YAN Yilong; LI Qiaofeng; NING Jinling; LI Tingting; GE Long

doi:10.12290/xhyxzz.2023-0198

Volume 15 Issue 2

Mar. 2024

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Medical Journal of Peking Union Medical College Hospital > 2024 > 15(2): 413-421. > DOI: 10.12290/xhyxzz.2023-0198

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, 2024, 15(2): 413-421. DOI: 10.12290/xhyxzz.2023-0198

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Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine

YE Ziying^{1, 2},
TIAN Chen^{1, 2},
YAN Yilong¹,
LI Qiaofeng¹,
NING Jinling^{1, 2},
LI Tingting¹,
GE Long^{1, 2, 3, 4, ,}

1.
Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, China
2.
Evidence-based Social Science Research Center, 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

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Corresponding author:
GE Long, E-mail: gelong2009@163.com
Received Date: April 14, 2023
Accepted Date: May 22, 2023
Available Online: June 25, 2023
Issue Publish Date: March 29, 2024

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Abstract

Abstract

Objective To systematically assess the applicability of the clinical practice guidelines (CPGs) integrating Chinese and western medicine, thereby providing reference for enhancing their future usability.
Methods PubMed, Web of Science, Embase, SinoMed, WanFang Data, and CNKI databases were searched for guidelines for the integration of Chinese and western medicine. Supplementary searches of Chinese Medical Association, Chinese Medicine Administration, MedSci websites, Website of China Association of Chinese Medicine, Medlive, Website of Dangdang, Chinese Association of Integrative Medicine and World Federation of Traditional Chinese Medicine Societies were conducted. The search time frame was from inception of the databases 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, 40(65.57%) 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 those of "communication", "ease of identification" and "applicability" were relatively poor. Notably, compared to guidelines published between 2006—2016, those published between 2017—2022 showed improvements in the areas of "identification" and "application".
Conclusions 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, publicity of the guidelines, continuous medical education and training, a more concise form of recommendations, application of the guidelines by clinicians, and the implementability of the integrative Chinese and western medicine guideline.
- integrative Chinese and western medicine,
- clinical practice guidelines,
- implementability

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References

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