CONFERENCE ON GUIDELINE STANDARDS

指导标准会议

• 批准号: 6460207
• 负责人: RICHARD N SHIFFMAN
• 金额: $ 4.96万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6460207
• 关键词: health care service evaluation; health science research analysis /evaluation; meeting /conference /symposium; patient care; travel

Considerable effort has been dedicated to the creation, dissemination, and implementation of clinical practice guidelines; yet, in many cases, the guidelines initiative has not achieved its potential. Despite the enormous energies invested in guideline authoring, the quality of the products of guideline development has been found repeatedly to be deficient. Critical information that would attest to guideline validity is regularly absent from the published documents. Furthermore, the multiplicity of formats and content poses challenges for those charged with disseminating and implementing guidelines. We believe that a consensus-based standard for guideline content could ameliorate many of these difficulties. This application proposes the convening of a conference to identify current methodological and technical problems in the development of clinical practice guidelines that interfere with their clinical effectiveness and to stimulate a productive interaction among stakeholders. By providing "slots" to fill or checklists for guideline developers to complete, the quality defects that arise from failure to include essential information could be minimized. By offering an agreed upon format for presenting recommendations, ambiguity could be highlighted (and corrected) and guideline implementability could be facilitated. Conference participants, representing a wide diversity of backgrounds and interests, will engage in a modified Delphi consensus process to identify appropriate and necessary guideline content. In addition, the participants will consider optimal approaches to representation of guideline recommendations. The product of the conference will be a draft standard for guideline content that is intended to promote guideline quality and implementability. Application of this standard could improve the comprehensiveness and usability of guidelines and facilitate dissemination and implementation activities.

我们为临床实践指南的创建、传播和实施付出了巨大的努力；然而，在许多情况下，该准则倡议并未发挥其潜力。尽管在指南编写方面投入了巨大的精力，但指南开发产品的质量却一再被发现存在缺陷。已发表的文件中通常缺少证明指南有效性的关键信息。此外，格式和内容的多样性给负责传播和实施指南的人员带来了挑战。我们相信，基于共识的指南内容标准可以缓解其中许多困难。该申请建议召开一次会议，以确定临床实践指南制定中当前影响其临床有效性的方法和技术问题，并刺激利益相关者之间的富有成效的互动。通过为指南制定者提供需要填写的“空缺”或需要完成的检查表，可以最大限度地减少因未能包含基本信息而产生的质量缺陷。通过提供商定的建议格式，可以突出（并纠正）歧义，并促进指南的可实施性。代表不同背景和利益的会议参与者将参与修改后的德尔菲共识流程，以确定适当且必要的指南内容。此外，参与者将考虑表达指南建议的最佳方法。会议的成果将是指南内容标准草案，旨在提高指南质量和可实施性。该标准的应用可以提高指南的全面性和可用性，并促进传播和实施活动。