·Any fool can make rule And every fool will mind it. Henry David Thoreau(1817-1882):Journal,1860 Whoever controls guidelines controls medicine D.Eddy,JAMA.1990;263:877-880
临床指南的目的 Template for optimal patient care Be implemented by all physicians Determining the proper utilization of medical resources
临床指南的范畴 临床症状与体征Description or symptom/sign ·病因etiology/harm ·筛查Screening ·诊断im ule out,Tests to order ·预后Complications/prognosis ·干预/治疗intervention/,treatment ·预防prevention
关于临床实践指南 Clinical Practice Guidelines 。基于极佳的证据，并不断更新 (Explicit evidence-based) ·基于一般证据(Evidence-b sed ·基于研究的证据(Research-based) 。基于一致的意见(Opinion-based) ·专家共识“e
临床指南的制定 ·准确accurate基于高质量证据 ·易懂accountable能够理解 ·可评价evaluable fiscal利于健康及提高效率 ·符合实际Facilitate resolution of conflict 明确/界定消除差异 ● Facilitate application 适用于个体情况