Email Alert RSS
Volume 15 Issue 2
Mar.  2024
Turn off MathJax
Article Contents
Abstract
References
SU Renfeng, LIU Hui, SHI Qianling, LUO Xufei, YANG Nan, ZHAO Junxian, TIAN Qiannan, ZHANG Juanjuan, WU Liqun, CHEN Yaolong. Reflections on Developing Health Standards Based on Evidence-based Concept[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 435-441. DOI: 10.12290/xhyxzz.2023-0433
Citation: SU Renfeng, LIU Hui, SHI Qianling, LUO Xufei, YANG Nan, ZHAO Junxian, TIAN Qiannan, ZHANG Juanjuan, WU Liqun, CHEN Yaolong. Reflections on Developing Health Standards Based on Evidence-based Concept[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 435-441. DOI: 10.12290/xhyxzz.2023-0433
shu

Reflections on Developing Health Standards Based on Evidence-based Concept

  • 1.

    School of Public Health, Lanzhou University, Lanzhou 730000, China

  • 2.

    Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China

  • 3.

    The First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China

  • 4.

    Shenzhen Health Development Research and Data Management Center, Shenzhen 518028, China

  • 5.

    Research Unit of Evidence-based Evaluation and Guidelines, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China

  • 6.

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

Funds: 

Sanming Project of Medicine in Shenzhen SZSM202111001

More Information
  • Corresponding author:

    WU Liqun, E-mail: 57128241@qq.com

    CHEN Yaolong, E-mail: chevidence@lzu.edu.cn

  • Received Date: September 13, 2023
  • Accepted Date: December 20, 2023
  • Available Online: January 17, 2024
  • Issue Publish Date: March 29, 2024
    Graphical Abstract
    • Abstract
  • National health standards involve all kinds of technical requirements formulated and numbered in accordance with the procedures and formats stipulated in the standardisation system for the implementation of national health and hygiene laws, regulations and policies, and the protection of human health. The establishment of health standards in China should align with our legal framework, including laws, regulations, departmental rules, and health and hygiene policies. During the development of these standards, a comprehensive approach is advocated, encompassing in-depth investigations, rigorous demonstrations, and extensive stakeholder engagement. However, the process of standard formulation may suffer from insufficient research evidence. The evidence-based concept emphasizes the significance of evidence. Therefore, integrating evidence-based concept into the process of developing health standards can enhance the quality and scientific basis of these standards. This article systematically elucidates the current status and development process of health standards in China, explores the necessity and feasibility of incorporating evidence-based concept into the development of these standards, analyzes the challenges and opportunities, and presents reflections and suggestions.
    • FullText(HTML)
    • References (29)
  • [1]
    中华人民共和国国家卫生健康委员会. 国家卫生健康委关于印发卫生健康标准管理办法的通知[EB/OL]. (2019-07-14)[2023-11-15]. http://www.nhc.gov.cn/fzs/s3581p/201907/429b93973e0145888a4860c9658ac482.shtml.

    National Health Commission of the People's Republic of China. Notice of the National Health Commission on issuing the management measures for health standards[EB/OL]. (2019-07-14)[2023-11-15]. http://www.nhc.gov.cn/fzs/s3581p/201907/429b93973e0145888a4860c9658ac482.shtml.
    [2]
    中华人民共和国国家卫生健康委员会. 国家卫生健康委关于成立第八届国家卫生健康标准委员会的通知[EB/OL]. (2019-06-27)[2023-11-15]. http://www.nhc.gov.cn/fzs/s3581p/201906/8aae280d21624b5884406cb11bef67b3.shtml.

    National Health Commission of the People's Republic of China. Notice of the National Health Commission on the establishment of the 8th National Health Standards Committee[EB/OL]. (2019-06-27)[2023-11-15]. http://www.nhc.gov.cn/fzs/s3581p/201906/8aae280d21624b5884406cb11bef67b3.shtml.
    [3]
    中华人民共和国国家卫生健康委员会. 国家卫生健康委关于印发国家卫生健康标准委员会章程的通知[EB/OL]. (2019-08-29)[2023-11-15]. http://www.nhc.gov.cn/fzs/s7848/201908/6b933ec583f141c18403ffa9837d2c02.shtml.

    National Health Commission of the People's Republic of China. Notice of the National Health Commission on issuing the constitution of the national health standards committee[EB/OL]. (2019-08-29)[2023-11-15]. http://www.nhc.gov.cn/fzs/s7848/201908/6b933ec583f141c18403ffa9837d2c02.shtml.
    [4]
    中华人民共和国国家卫生健康委员会. 国家卫生健康委关于印发"十四五" 卫生健康标准化工作规划的通知[EB/OL]. (2022-01-25)[2023-09-14]. http://www.nhc.gov.cn/fzs/s7846/202201/0a93c6e17e804d359ba1d2579ce38032.shtml.

    National Health Commission of the People's Republic of China. Notice of the National Health Commission on issuing the 14th Five Year Plan for health standardization work[EB/OL]. (2022-01-25)[2023-09-14]. http://www.nhc.gov.cn/fzs/s7846/202201/0a93c6e17e804d359ba1d2579ce38032.shtml.
    [5]
    陈广刚, 吕荷叶. 我国医疗卫生标准的现状、问题及建议[J]. 中国卫生监督杂志, 2014, 21(6): 534-538. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJD201406008.htm

    Chen G G, Lyu H Y. The current situation, problems, and suggestions of medical and health standards in China[J]. Chin J Health Inspection, 2014, 21(6): 534-538. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJD201406008.htm
    [6]
    李六亿, 姚希. 对我国医院感染控制标准框架体系的探讨[J]. 中国医疗管理科学, 2015, 5(2): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YLGL201502006.htm

    Li L Y, Yao X. Discussion on the framework system for nosocomial infection control standards in China[J]. Chin J Med Manag Sci, 2015, 5(2): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-YLGL201502006.htm
    [7]
    林珊, 屈会起, 张金钟, 等. 循证医学与医疗技术标准的制定[J]. 中华医院管理杂志, 2000, 16(6): 332-334. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYG200006004.htm

    Lin S, Qu H Q, Zhang J Z, et al. Evidence based medicine and the development of medical technology standards[J]. Chin J Hosp Adm, 2000, 16(6): 332-334. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYG200006004.htm
    [8]
    姚清晨, 张颖. 基于循证理念的公共政策制定研究[J]. 四川行政学院学报, 2018(4): 27-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZB201804006.htm

    Yao Q C, Zhang Y. Research on public policy formulation based on evidence based concepts[J]. J Sichuan Adm Inst, 2018(4): 27-32. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZB201804006.htm
    [9]
    高建华, 于建平, 苏宁, 等. 基于标准信息服务平台的我国卫生健康相关标准分析[J]. 首都公共卫生, 2020, 14(1): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202001015.htm

    Gao J H, Yu J P, Su N, et al. Analysis on the current status of health standards based on service platform for standards information in China[J]. Cap J Public Health, 2020, 14(1): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202001015.htm
    [10]
    李文捷, 朱秋鸿. 我国职业健康标准体系现状分析及建议[J]. 中国卫生标准管理, 2021, 12(12): 4-9. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ202112003.htm

    Li W J, Zhu Q H. Analysis and suggestion on status of the occupational health standards system in China[J]. Chin Health Stand Manag, 2021, 12(12): 4-9. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ202112003.htm
    [11]
    姜伟, 于天贵, 迟蔚蔚, 等. 卫生健康信息化标准体系建设研究[J]. 医学信息学杂志, 2020, 41(11): 22-25. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQB202011007.htm

    Jiang W, Yu T G, Chi W W, et al. Study on the building of health informatization standard system[J]. J Med Inform, 2020, 41(11): 22-25. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQB202011007.htm
    [12]
    环境卫生标准专业委员会. 国内外环境卫生标准体系研究[J]. 中国卫生标准管理, 2013, 4(12): 36-41. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ2013Z7002.htm

    Environmental Health Standards Professional Committee. Research on the environmental hygiene standard system at home and abroad[J]. Chin Health Stand Manag, 2013, 4(12): 36-41. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ2013Z7002.htm
    [13]
    王晶. 卫生健康领域参与国际标准化活动现状分析及对策研究[J]. 中国标准化, 2021(23): 157-161. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGBZ202123036.htm

    Wang J. Analysis of the current situation of participating in international standardization activities in the field of health care and tactics[J]. Chin Stand, 2021(23): 157-161. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGBZ202123036.htm
    [14]
    Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine[J]. JAMA, 1992, 268(17): 2420-2425. DOI: 10.1001/jama.1992.03490170092032
    [15]
    陈耀龙. 循证医学在我国骨科临床研究与实践中的应用[J]. 骨科临床与研究杂志, 2018, 3(3): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC201803002.htm

    Chen Y L. The application of evidence-based medicine in clinical research and practice of orthopedics in China[J]. J Clin Orthop Res, 2018, 3(3): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-GKLC201803002.htm
    [16]
    赵晨, 田贵华, 张晓雨, 等. 循证医学向循证科学发展的内涵和思考[J]. 中国循证医学杂志, 2019, 19(5): 510-514. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ201905003.htm

    Zhao C, Tian G H, Zhang X Y, et al. From evidence-based medicine to evidence-based science: the connotation and thinking[J]. Chin J Evid-based Med, 2019, 19(5): 510-514. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ201905003.htm
    [17]
    中华人民共和国卫生部. 卫生部关于印发《卫生部卫生标准"十一五" 规划》的通知[J]. 中华人民共和国国家卫生健康委员会公报, 2007(11): 14-46. https://www.cnki.com.cn/Article/CJFDTOTAL-TZZB202312003.htm

    Ministry of Health of the PRC. Notice of the Ministry of Health on issuing the "Eleventh Five Year Plan" for health standards of the ministry of health[J]. Gaz Natl Health Comm Peoples Repub China, 2007(11): 14-46. https://www.cnki.com.cn/Article/CJFDTOTAL-TZZB202312003.htm
    [18]
    中华中医药学会. 关于《糖尿病足中医药防治循证实践指南》等4项拟发布团体标准公示的通知[EB/OL]. (2022-06-01)[2023-09-14]. https://www.cacm.org.cn/2022/06/01/18143/.

    China Association of Chinese Medicine. Notice on the publication of four group standards, including the Evidence based Practice Guide for the Prevention and Treatment of diabetes Foot with Traditional Chinese Medicine[EB/OL]. (2022-06-01)[2023-09-14]. https://www.cacm.org.cn/2022/06/01/18143/.
    [19]
    张敏, 李文捷. 职业卫生标准理论体系模式的创建与研究: 以职业性有害因素的危险度评估和控制为基础[J]. 中国卫生标准管理, 2015, 6(3): 1-6. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201503001.htm

    Zhang M, Li W J. The creation and research of the theoreti-cal system model of occupational health standards: based on the risk assessment and control of occupational hazards[J]. Chin Health Stand Manag, 2015, 6(3): 1-6. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201503001.htm
    [20]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 鼠疫自然疫源地及动物鼠疫流行判定: GB 16883-2022[S]. 北京: 中国标准出版社, 2022.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Determination for natural plague foci and plague epizootics: GB 16883-2022[S]. Beijing: Standards Press of China, 2022.
    [21]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 医用电气设备第2-2部分: 高频手术设备及高频附件的基本安全和基本性能专用要求: GB 9706.202-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Medical electrical equipment—Part 2-2: particular requirements for the basic safety and essential performance of high frequency surgical equipment and high frequency surgical accessories: GB 9706.202-2021[S]. Beijing: Standards Press of China, 2021.
    [22]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 医用电气设备第2-13部分: 麻醉工作站的基本安全和基本性能专用要求: GB 9706.213-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Medical electrical equipment—Part 2-13: particular requirements for the basic safety and essential performance of an anaesthetic workstation: GB 9706.213-2021[S]. Beijing: Standards Press of China, 2021.
    [23]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 医用电气设备第2-24部分: 输液泵和输液控制器的基本安全和基本性能专用要求: GB 9706.224-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Medical electrical equipment—Part 2-24: particular requirements for the basic safety and essential performance of infusion pumps and controllers: GB 9706.224-2021[S]. Beijing: Standards Press of China, 2021.
    [24]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 医用电气设备第2-25部分: 心电图机的基本安全和基本性能专用要求: GB 9706.225-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Medical electrical equipment—Part 2-25: particular requirements for the basic safety and essential performance of electrocardiographs: GB 9706.225-2021[S]. Beijing: Standards Press of China, 2021.
    [25]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 医用电气设备第2-36部分: 体外引发碎石设备的基本安全和基本性能专用要求: GB 9706.236-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Medical electrical equipment—Part 2-36: particular requirements for the basic safety and essential performance of equipment for extracorporeally induced lithotripsy: GB 9706.236-2021[S]. Beijing: Standards Press of China, 2021.
    [26]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 人体血液及血液成分袋式塑料容器第4部分: 含特殊组件的单采血袋系统: GB 14232.4-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Plastics collapsible containers for human blood and blood components—Part 4: aphaeresis blood bag systems with integrated features: GB 14232.4-2021[S]. Beijing: Standards Press of China, 2021.
    [27]
    中华人民共和国国家市场监督管理总局, 中国国家标准化管理委员会. 医用电气设备第2-18部分: 内窥镜设备的基本安全和基本性能专用要求: GB 9706.218-2021[S]. 北京: 中国标准出版社, 2021.

    State Administration for Market Regulation, Standardization Administration of the People's Republic of China. Medical electrical equipment—Part 2-18: particular requirements for the basic safety and essential performance of endoscopic equipment: GB 9706.218-2021[S]. Beijing: Standards Press of China, 2021.
    [28]
    SUNY Downstate Medical Research Library of Brooklyn: evidence-based medicine course[DB/OL]. (2022-07-18)[2023-11-15]. https://guides.downstate.edu/c.php?g=856794&p=6831536.
    [29]
    史乾灵, 王子君, 马艳芳, 等. 2019年期刊公开发表的中国临床实践指南文献调查与评价: 资助与利益冲突[J]. 协和医学杂志, 2021, 12(5): 784-790. DOI: 10.12290/xhyxzz.2021-0323

    Shi Q L, Wang Zi J, Ma Y F, et al. Investigation and evaluation of Chinese clinical practice guidelines published in medical journals in 2019: funding and conflicts of interest[J]. Med J PUMCH, 2021, 12(5): 784-790. DOI: 10.12290/xhyxzz.2021-0323
    • Related Articles

  • Cited by

    Periodical cited type(4)

    1. 孟芸，许慧雯，郭月，朱炯. 医疗、医药和医保标准体系对比和研究. 中国医疗设备. 2025(01): 3-7+33 .
    2. 易少威，张俊华，马彬. 循证医学驱动临床前动物实验成果的转化与利用. 兰州大学学报(医学版). 2025(02): 1-9 .
    3. 刘辉，杨楠，史乾灵，罗旭飞，张海荣，田金徽，靳英辉，陈耀龙. 医学期刊发表中国指南和共识类文献科学性、透明性和适用性评级方法学——样本确定及专科分配. 协和医学杂志. 2024(02): 429-434 . 本站查看
    4. 郭苗苗，谌永毅. 护士在肿瘤患者家庭肠内营养管理中的作用与思考. 肿瘤代谢与营养电子杂志. 2024(03): 290-294 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (254) PDF downloads (59) Cited by(4)
    Related
    Links: National Health Commission of the People's Republic of China Chinese Academy of Medical Sciences(CAMS) AMLC Check CNKI Database CNKI Term Online Chinese General Practice
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

    Supported by: Beijing Renhe Information Technology Co., Ltd.  Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close