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.

在创建、传播和实施临床实践指南方面付出了相当大的努力；然而，在许多情况下，指南倡议并没有发挥其潜力。尽管在指南编写上投入了巨大的精力，但指南开发的产品质量一再被发现存在缺陷。证明指南有效性的关键信息通常没有出现在已公布的文件中。此外，格式和内容的多样性给负责传播和执行准则的人带来了挑战。我们认为，以协商一致为基础的准则内容标准可以缓解其中许多困难。这项申请建议召开一次会议，以确定当前在制定临床实践指南过程中干扰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。通过提供“空位”以供指南开发人员填写或检查表，可以最大限度地减少因未能包含基本信息而引起的质量缺陷。通过提供一种商定的提交建议的格式，可以突出(和纠正)模棱两可的地方，并促进准则的可实施性。代表不同背景和兴趣的与会者将参与修改后的德尔福共识进程，以确定适当和必要的指导内容。此外，与会者将审议提出准则建议的最佳方法。会议的成果将是旨在提高准则质量和可实施性的准则内容标准草案。应用这一标准可以提高准则的全面性和可用性，并促进传播和执行活动。