临床和公共卫生指南:指南科学的学术家园

Zachary Munn
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引用次数: 0

摘要

我并不是第一个考虑创办指南期刊的人。实际上,当我在 2021 年 9 月正式向国际指南网络(GIN)董事会提交一份提案时,(在这个数字信息时代)创办一份期刊的想法已经不是什么新鲜事了。然而,让我感到奇怪的是,尽管有数以万计的期刊,而且每年都有新的期刊问世,但却没有专门的同行评审学术期刊关注指南方法或研究,也没有专门出版指南的期刊。在我看来,作为一名证据综合学家、实施学家和指南方法学家,这似乎很不协调,因为有多种期刊致力于系统综述(包括方法和/或综述本身)、卫生技术评估和实施科学。GIN 是一个由对循证指南感兴趣的组织和个人组成的网络,拥有世界上最大的国际指南图书馆和登记处。GIN 成立于 2002 年 11 月,并于 2003 年 2 月正式注册为一家公司和苏格兰慈善机构,旨在通过支持国际合作,促进临床实践指南的系统开发及其在实践中的应用,从而提高医疗质量。事后看来,在 GIN 成立之初,或许是为指南界创办一份期刊的理想时机--尽管可以说,最初的创办者们有足够多的事情要做。俗话说:"种树的最佳时机是 20 年前,其次才是现在"--我们相信,随着指南领域的不断发展,现在已经为种树做好了准备。2022 年期间,该意向书对外发布,董事会向更广泛的 GIN 社区、出版商和其他对创办一本指南专门期刊的想法感兴趣的人征求反馈意见和建议。在获得大量反馈和兴趣之后,我们自豪地宣布 Wiley 成为该期刊的出版商。协议签订后,我们便开始了下一项工作--确定该期刊的首任主编。伊万-弗洛雷斯博士(Dr. Ivan Florez)担任了这一职务,我们对此感到非常高兴(经过激烈的竞争,我们也松了一口气)。他热情洋溢,对指南方法充满热情,对该领域有着全面的了解,对细节有着敏锐的洞察力,我们知道他是担任这一重要职务的最佳人选。首先,为 GIN 创办一份官方期刊将有助于提高 GIN 的知名度,促进 GIN 的工作。该期刊将为工作组、地区社区以及 GIN 合作伙伴和成员提供一个渠道。此外,该期刊还将为希望在期刊上发表其指南(或指南节选)以及至关重要的指南协议的人士提供载体。为确保成功,该期刊将依赖于指南界的支持,我们的目标是为 GIN 会员提供机会,让他们以多种方式为期刊做出贡献,如加入编辑委员会、担任同行评审员以及为期刊提供内容。重要的是,当提到 "我们的 "期刊时,我指的不仅仅是 GIN 董事会或《临床与公共卫生指南》编辑部,而是 GIN 的全体成员以及全球范围内更广泛的指南制定与实施团体。我们希望(随着时间的推移)本刊能成为指南科学的学术家园,欢迎以各种形式投稿,促进和推动指南科学的发展。我们期待着有关指南方法工作、指南项目案例研究、示范指南本身、实施注意事项以及其他多种类型的投稿。作为唯一一本专门发表与指南相关的研究和方法以及指南本身的国际性同行评审科学杂志,我们希望本刊能拥有广泛的读者群,包括在卫生和医疗机构、学术或培训组织或指南制定组织(包括政府机构)工作的人员。
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Clinical and Public Health Guidelines: A scholarly home for the science of guidelines

I was not the first person to consider starting a journal dedicated to guidelines. In reality, by the time I presented a proposal formally to the Guidelines International Network (GIN) board in September 2021, the idea to establish a journal (in this digital information age) was far from a novel one. However, it always struck me as odd that although there are tens of thousands of journals with new ones being launched every year, there were no dedicated peer-reviewed scholarly journals focusing on guideline methods or research, or journals publishing solely guidelines. From my perspective as an evidence synthesiser, implementation scientist and guideline methodologist, this seemed incongruous given there are multiple journals dedicated to systematic reviews (both methods and/or the reviews themselves), health technology assessment and implementation science. While these other fields had their scholarly homes for scientific output, guideline development and methods articles remained scattered in the wind.

GIN is a network of organisations and individuals interested in evidence-based guidelines and has one of the world's largest international guideline library and registry. Founded in November 2002 and formally incorporated as a company and a Scottish Charity in February 2003, GIN seeks to improve the quality of health care by promoting systematic development of clinical practice guidelines and their application into practice, through supporting international collaboration. With the benefit of hindsight, perhaps an ideal time to have established a journal for the guideline community would have been during the establishment of GIN—although it is fair to say the original founders had more than enough to focus on. As the old saying goes, ‘the best time to plant a tree was 20 years ago, the second best time is now’—and we believe that now, as the guideline field continues to evolve, the soil is ready for the planting.

In November 2021, the GIN board agreed that an expression of interest for a publishing partner should be drafted. During 2022, this was distributed externally and the board sought feedback and input from the broader GIN community, publishers and others interested in the idea of a journal dedicated to guidelines. After considerable feedback and interest, we were proud to announce Wiley as the publisher for this journal. Once an agreement was put in place, we undertook our next task—identifying the inaugural editor in chief for this journal. It was with great pleasure (and some relief after tough competition for the role) that we were able to recruit Dr Ivan Florez to this role. With his enthusiastic nature, passion for guideline methods, comprehensive understanding of the field along with a keen eye for detail, we know he is the perfect candidate for this critical appointment.

We see this dedicated journal for guidelines (and guideline science) having a number of benefits for both GIN as an organisation and also our members and partners. First, an official journal for the network will assist in raising GIN's profile and promoting the work of GIN. The journal will provide an outlet for the working groups and regional communities along with GIN partners and members. Additionally, it will be a vehicle for people wishing to publish their guidelines (or abridged guidelines) as well as the all-important guideline protocols in the journal. To ensure success the journal will rely on the support of the guideline community, and we aim to provide opportunities for the GIN membership to contribute to the journal in many ways, such as on the editorial board, by acting as peer reviewers and providing content for the journal.

It was a privilege and a pleasure to be invited to write this editorial for the first issue of our journal outlining its history, founding and purpose. Importantly, when saying ‘our’ journal, I refer not only to the GIN board or editorial board of Clinical and Public Health Guidelines, but the entire GIN membership and the broader guideline development and implementation community across the globe. We hope (with time), that this journal will become the scholarly home for the science of guidelines, welcoming a myriad of submissions contributing to and advancing this science in all forms. We look forward to articles on guideline methods work, case studies of guideline projects, exemplar guidelines themselves, implementation considerations and many other types of submissions. As the only international, peer-reviewed scientific journal dedicated solely to publishing research and methods relating to guidelines as well as guidelines themselves, we hope this journal will have a broad audience for anyone working in health and medical institutions, academic or training organisations or guideline development organisations themselves, including government bodies. We believe the appeal of the journal crosses both academic and clinical populations, and given it will also publish guidelines themselves, will produce impactful work that will assist in achieving GIN's vision of trustworthy and accessible guidance for better health. I invite you to follow closely the progress of our journal as it grows, as I am sure it will be an exciting and interesting time. Additionally, do consider contributing to the journal as well—as we all work together to advance the science of guideline development.

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