Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine

Objective   To systematically assess the applicability of the clinical practice guidelines (CPGs) integrating Chinese and western medicine, thereby providing reference for enhancing their future usability.   Methods   PubMed, Web of Science, Embase, SinoMed, WanFang Data, and CNKI databases were sea...

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Main Authors: YE Ziying, TIAN Chen, YAN Yilong, LI Qiaofeng, NING Jinling, LI Tingting, GE Long
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2024-03-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0198
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author YE Ziying
TIAN Chen
YAN Yilong
LI Qiaofeng
NING Jinling
LI Tingting
GE Long
author_facet YE Ziying
TIAN Chen
YAN Yilong
LI Qiaofeng
NING Jinling
LI Tingting
GE Long
author_sort YE Ziying
collection DOAJ
description Objective   To systematically assess the applicability of the clinical practice guidelines (CPGs) integrating Chinese and western medicine, thereby providing reference for enhancing their future usability.   Methods   PubMed, Web of Science, Embase, SinoMed, WanFang Data, and CNKI databases were searched for guidelines for the integration of Chinese and western medicine. Supplementary searches of Chinese Medical Association, Chinese Medicine Administration, MedSci websites, Website of China Association of Chinese Medicine, Medlive, Website of Dangdang, Chinese Association of Integrative Medicine and World Federation of Traditional Chinese Medicine Societies were conducted. The search time frame was from inception of the databases to December 31, 2022. Four reviewers independently evaluated the implementability of clinical practice guidelines by using 'Clinical Practice Guideline (CPG) implementation evaluation tool'.   Results   A total of 61 integrative Chinese and western medicine guidelines were included. Of the guidelines assessed, 9 guidelines(14.75%) exhibited strong implementability, 40(65.57%) demonstrated average implementability, and 12 (19.67%) demonstrated poor implementability. Among the 5 domains, the dimensions of 'accessibility' and 'implementability' were found to be of high quality, while those of 'communication', 'ease of identification' and 'applicability' were relatively poor. Notably, compared to guidelines published between 2006—2016, those published between 2017—2022 showed improvements in the areas of 'identification' and 'application'.   Conclusions   The implementabilityof the existing clinical practice guidelines of the integrative Chinese and western medicine is average and needs to be improved. In the future, emphasis should be placed on the integration of medical education and research, publicity of the guidelines, continuous medical education and training, a more concise form of recommendations, application of the guidelines by clinicians, and the implementability of the integrative Chinese and western medicine guideline.
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spelling doaj.art-cadb65fb824d4ec2a9451d4e6fb963072024-04-07T00:55:20ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812024-03-0115241342110.12290/xhyxzz.2023-0198Implementation Evaluation of Clinical Practice Guidelines for Integrative MedicineYE ZiyingTIAN ChenYAN Yilong0LI Qiaofeng1NING JinlingLI Tingting2GE LongDepartment of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, ChinaDepartment of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, ChinaDepartment of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, ChinaObjective   To systematically assess the applicability of the clinical practice guidelines (CPGs) integrating Chinese and western medicine, thereby providing reference for enhancing their future usability.   Methods   PubMed, Web of Science, Embase, SinoMed, WanFang Data, and CNKI databases were searched for guidelines for the integration of Chinese and western medicine. Supplementary searches of Chinese Medical Association, Chinese Medicine Administration, MedSci websites, Website of China Association of Chinese Medicine, Medlive, Website of Dangdang, Chinese Association of Integrative Medicine and World Federation of Traditional Chinese Medicine Societies were conducted. The search time frame was from inception of the databases to December 31, 2022. Four reviewers independently evaluated the implementability of clinical practice guidelines by using 'Clinical Practice Guideline (CPG) implementation evaluation tool'.   Results   A total of 61 integrative Chinese and western medicine guidelines were included. Of the guidelines assessed, 9 guidelines(14.75%) exhibited strong implementability, 40(65.57%) demonstrated average implementability, and 12 (19.67%) demonstrated poor implementability. Among the 5 domains, the dimensions of 'accessibility' and 'implementability' were found to be of high quality, while those of 'communication', 'ease of identification' and 'applicability' were relatively poor. Notably, compared to guidelines published between 2006—2016, those published between 2017—2022 showed improvements in the areas of 'identification' and 'application'.   Conclusions   The implementabilityof the existing clinical practice guidelines of the integrative Chinese and western medicine is average and needs to be improved. In the future, emphasis should be placed on the integration of medical education and research, publicity of the guidelines, continuous medical education and training, a more concise form of recommendations, application of the guidelines by clinicians, and the implementability of the integrative Chinese and western medicine guideline.https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0198integrative chinese and western medicineclinical practice guidelinesimplementability
spellingShingle YE Ziying
TIAN Chen
YAN Yilong
LI Qiaofeng
NING Jinling
LI Tingting
GE Long
Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine
Xiehe Yixue Zazhi
integrative chinese and western medicine
clinical practice guidelines
implementability
title Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine
title_full Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine
title_fullStr Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine
title_full_unstemmed Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine
title_short Implementation Evaluation of Clinical Practice Guidelines for Integrative Medicine
title_sort implementation evaluation of clinical practice guidelines for integrative medicine
topic integrative chinese and western medicine
clinical practice guidelines
implementability
url https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2023-0198
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AT ningjinling implementationevaluationofclinicalpracticeguidelinesforintegrativemedicine
AT litingting implementationevaluationofclinicalpracticeguidelinesforintegrativemedicine
AT gelong implementationevaluationofclinicalpracticeguidelinesforintegrativemedicine