[日本卫生保健质量委员会制定的临床实践指南2.0版- EBM的实践]。

Ryota Hashimoto
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引用次数: 0

摘要

Minds(医疗信息网络分发服务)是由日本优质医疗保健委员会(JCQHC)提供的一项信息服务,该委员会是一个公共利益合并基金会。制定临床实践指南的Minds指南于2014年出版。Minds项目的目的是帮助医生在实践中充分利用与循证医学(EBM)相关的信息。Minds还向患者和公众提供信息,以帮助了解疾病的基本知识,并与医生分享现代医疗实践所依据的最新证据。总体而言,临床实践指引如下:1)指南委员会的三层结构,包括管理委员会、指南制定团队和系统审查团队;2)明确描述个人判断和COI的基础;3)评估针对每个临床问题(CQ)的所有选定研究报告中总结的每个结果和研究设计的证据体;4)干预对患者预后的影响不仅包括“受益”,还包括“危害”。根据Minds方法,日本神经精神药理学学会制定了“精神分裂症药物治疗指南”。本文介绍了这些准则来解释Minds方法的特点。同时介绍了精神科治疗传播教育指南的有效性项目(EGUIDE项目),以传播和评估这些指南。
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[Minds Guide for Developing Clinical Practice Guidelines Ver. 2.0 by Japan Council for Quality Health Care -Practice of EBM-].

Minds (Medical Information Network Distribution Service) is an information service provided by the Japan Council for Quality Health Care (JCQHC), a public interest incorporated foundation. The Minds guide for developing clinical practice guidelines was published in 2014. The aim of the Minds project is to help medical practitioners fully utilize information related to evidence-based medicine (EBM) in their practice. Minds also provides patients and the public with information to help understand the basics of diseases and share up-to-date evi- dence with doctors, on which modern medical practices are based. Overall, clinical practice guidelines are made up as follows : 1) a three-layered structure of guideline committees con- sisting of a managing committee, guideline creation team, and a systematic review team, 2) a clear description of the basis for an individual's judgment and COI, 3) evaluation of the body of evidence summarized for every outcome and study design in all selected research reports for each Clinical Question (CQ), and 4) not only the "benefit" but also the "harm" in the patient outcome caused by intervention are to be included in the evaluation. According to the Minds method, the Japanese Society of Neuropsychopharmacology has created a "Guidelines for Pharmacological Therapy of Schizophrenia." These guidelines were introduced to explain the characteristics of the Minds method in this paper. The Effectiveness of GUIdelines for Dissemination and Education in psychiatric treatment project (EGUIDE proj- ect) was also introduced to disseminate and evaluate these guidelines.

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