Schizophrenia practice guidelines: international survey and comparison
Schizophrenia practice guidelines: international survey and comparison
复制标题
DOI：
10.1192/bjp.187.3.248
复制
发表时间：
2005-09-01
影响因子：
10.5
通讯作者：
McIntyre, JS
中科院分区：
文献类型：
--
作者：
Gaebel, W;Weinmann, S;McIntyre, JS
精神分裂症指南在方法和内容上有很大的不同。目的对不同国家精神分裂症指南进行系统比较。方法对指南制定情况进行国际调查，并使用经过验证的指南评价工具（欧洲评价指南研究与评价）进行方法比较。结果许多精神分裂症指南的方法学质量最多为中等。很少有指导方针在其发展过程中包括关键利益相关者。虽然药物治疗的建议是相似的，但在推荐的社会心理干预类型上有很大的差异。结论指南的方法学质量对指南的适用性有很大影响，但缺乏制定和实施指南的财政手段是一个严重的问题。独立的国际组织可以为制定一套公正的精神分裂症治疗建议作出贡献。在资源短缺的国家，这可以成为与利益攸关方合作适应不同文化和经济背景的基础。W.G.是德国精神分裂症指南的编辑之一（从1998年开始）是美国实践指南指导委员会主席。资金详情见致谢。
Background Schizophrenia guidelines differ considerably in methodology and content.Aims To systematically compare national schizophrenia guidelines from different countries.Method An international survey was conducted on guideline development and a methodological comparison was made using a validated guideline appraisal instrument (the Appraisal Guideline Research and Evaluation Europe).Results The methodological quality of many schizophrenia guidelines was at best moderate. Few guidelines had included key stakeholders in their development process. Although pharmacotherapy recommendations were similar, there were strong variations in the type of psychosocial interventions recommended.Conclusions The methodological quality of guidelines has a strong influence on their applicability However, the lack of financial means to develop and implement guidelines is a serious problem. Independent international organisations could contribute to defining a core set of unbiased schizophrenia treatment recommendations. In countries with a shortage of resources, this could be a basis for adaptation to different cultural and economic backgrounds in collaboration with stakeholders.Declaration of interest W.G. is one of the editors of the German schizophrenia guideline (from 1998);J.M. is the Chairman of the US Steering Committee on Practice Guidelines. Funding detailed in Acknowledgements.