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.

已经为临床实践指南的创建，传播和实施做出了巨大的努力。但是，在许多情况下，指南倡议并未发挥其潜力。尽管投资于指南授权的巨大精力，但指南开发产品的质量反复不足。已发表的文件经常不存在证明指导有效性的关键信息。此外，多种格式和内容对被指控传播和实施准则的人们带来了挑战。我们认为，基于共识的指南内容标准可以改善许多此类困难。该申请提出了一次会议的召集，以确定临床实践指南的开发方法和技术问题，这些指南会干扰其临床有效性并刺激利益相关者之间的富有成效互动。通过提供“插槽”以填写或清单以使指南开发人员完成，可以最大程度地减少未能包括基本信息而产生的质量缺陷。通过提供商定的格式以提出建议，可以强调（并纠正）歧义，并可以促进指南可实施性。代表各种背景和兴趣的会议参与者将参与经过改进的Delphi共识过程，以确定适当的必要指南内容。此外，参与者将考虑代表指南建议的最佳方法。会议的产物将是指南内容标准草案，旨在促进指南质量和可执行性。该标准的应用可以提高准则的综合性和可用性，并促进传播和实施活动。