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Research on the promotion of clinical practice guidelines implementation (V): evalua-tion of clinical guidelines implementation and expert consensus on Traditional Chinese Medicine/Integrated Traditional Chinese and Western Medicine

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Author: Hong-Yan LI 1 Xiu-Qing SHI 2 Jing GUO 3 Rong ZHANG 4 Jie ZHOU 5 Ying-Hui JIN 6 Hong-Cai SHANG 7

Affiliation: 1. Department of Pharmacy, Yantai Yuhuangding Hospital, Yantai 264000, Shandong Province, China 2. Department of Medical Oncology, Yantai Yuhuangding Hospital, Yantai 264000, Shandong Province, China 3. Department of Acupuncture and Rehabilitation, The Affiliated Hospital of Nanjing University of Chinese Medi-cine, Nanjing 210029, China 4. Department of Neurological Tumor Center, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei Province, China 5. School of Nursing, Wuhan University, Wuhan 430071, China 6. Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China 7. Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China

Keywords: Traditional Chinese Medicine Integrated Traditional Chinese and Western Medicine Clinical guidelines Expert consensus Implementation


Reference:Li HY, Shi XQ, Guo J, Zhang R, Zhou J, Jin YH, Shang HC. Research on the promotion of clinical practice guidelines implementation (V): evaluation of clinical guidelines implementation and expert consensus on Traditional Chinese Medicine/Integrated Traditional Chinese and Western Medicine[J]. Yixue Xinzhi Zazhi, 2022, 32(3): 161-169. DOI: 10.12173/j.issn.1004-5511.202112031.[Article in Chinese]

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Objective  Evaluate the quality of implementation of Traditional Chinese Medicine (TCM)/Integrated Traditional Chinese and Western Medicine (IM) clinical guidelines and expert con-sensus published at home and abroad using the “Clinical Practice Guideline (CPG) implementation evaluation tool”, understand the implementation of TCM/IM CPGs and expert consensus, provide a ref-erence for TCM/IM guidelines implementation and promotion. 

Methods  CNKI, Wanfang Data, PubMed, and Medive databases were systematically searched, to collect original TCM/IM guidelines/consensus. The “CPG implementation evaluation tool” was applied to evaluate the implementation of the included TCM/IM guidelines. 

Results  A total of 231 guidelines/consensus were included, consisting of 119 guidelines and 112 expert consensus. In general, the implementation quality of most TCM/IM guide-lines/consensus is low (90.91%). 

Conclusion  The implementation of TCM/TCM CPGs/expert consen-sus still needs to be improved. Incorporating implementation science into the guideline formulation process, managing and guiding formulation from the source, and optimizing the presentation and dis-semination strategies of the guidelines can promote the implementation of guidelines/consensus appli-cation.

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