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Journal of Chinese Integrative Medicine ›› 2010, Vol. 8 ›› Issue (9): 819-823.doi: 10.3736/jcim20100903

• Review • Previous Articles     Next Articles

Guidelines for evidence-based Chinese medicine clinical pathway report

 Si-cheng Wanga,b,Jian-ping Liua, Hui Lic, He Yua,d   

  1. a Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
    b Division of Science and Technology, Chinese State Administration of Traditional Chinese Medicine, Beijing 100026, China
    c Department of Acupuncture and Moxibustion, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong Province, China
    d Department of Clinical Basic Medicine of Tradifional Chinese Medicine, School of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2010-03-12 Accepted:2010-05-18 Online:2010-09-20 Published:2010-09-15

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Clinical pathway (CP), as a standardized approach and clinical management process for disease diagnosing and treating, is being widely used with more relevant publications reported gradually. But different forms of CP reports may prevent the evaluation and spreading of CP. The authors recommend guidelines for evidence-based Chinese medicine CP report, including 18 items which form 5 big sections, by precise item selection and rigorous expert consensus. All these items can embody the principles of Chinese medicine and comply with the requirements of the clinical practice of Chinese medicine. All above are based on synthesizing the published literature systematically and analyzing the current status in this field, also according to the characteristics of Chinese medicine and methodology requirement of evidence-based medicine.

Key words: evidence-based medicine, Chinese medicine, clinical pathway, guidelines

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条目 主题 注 释
1 标题 明确本路径报告的名称,是否中医临床路径,针对的主要临床疾病（或环节）
2 摘要 提供包括路径发表日期、版本及报告的结构性摘要,包括背景、目的、资料来源、制订过程等
3 制定者 明确制定组织的责任,提供制定小组的成员姓名、资质等信息
4 目标 介绍遵循路径预期可达到的目标,包括制定路径的总体指导思想和中医特点
5 适用范围 描述路径的适用范围,包括卫生保健服务提供者的类别及适用单位、机构条件资质等
6 目标病种/人群 明确路径适用的疾病病种（包括西医病种与中医病证）以及符合纳入路径标准的人群
7 中医干预 介绍中医药在该路径中的地位与作用,明确中医干预的环节与方法
8 证据收集 说明临床证据的来源与获取方法,如文献资料,应明确文献检索的时间、文献库范围、检索策略、筛选标准等
9 证据评价 描述证据的合成与评价方法,说明证据质量的评价标准,提供临床证据的分级推荐标准与推荐等级
10 预试结果 路径发布前制定者对该路径的评价、测试方法与结果
11 更新计划 表明路径的更新计划与周期
12 潜在的获益与风险 描述执行路径的预期获益和潜在的风险
13 路径标准操作流程 注明路径的适用对象、诊断依据、治疗方案的选择、诊疗方案、标准住院日、进入路径标准、检查项目、出院标准、变异及原因分析等内容,并可根据路径描述的实施步骤与决策绘制路径实施流程图
14 医师版临床路径表 以时间为横轴、诊疗项目为纵轴的表格,将临床路径确定的诊疗任务依时间顺序以表格清单的形式罗列出来
15 患者版临床路径告知单 用于向患者告知其需要接受的诊疗服务过程的表单。以通俗易懂的语言向患者介绍具体的治疗过程
16 变异记录单 记录和分析临床路径实施过程中的变异情况,记录的内容将作为分析路径实施效果的重要参考依据
17 临床诊疗规范化文件 包括临床诊疗标准操作规程,疾病诊断、中医辨证标准,疗效评价标准,治疗方案和操作标准等
18 管理文件 包括法律法规、医院规章制度和职责类文件、医院管理和评价指南类文件等
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