Navarro-Rubio M D, Giménez N, Casasa A, Piró-Ibáñez M
mutuaterrassa@mx2
Med Clin (Barc). 2000;114 Suppl 2:52-6.
The need of designing clinical practice guidelines in the context of the evidence based medicine relates to different aspects concerning the characteristics of the clinical condition, the health care context, the utilization of health services, and the existing knowledge about the topic of study. The objective of this study was to review the guideline development method for managing depression in care and its implications in clinical practice.
Review and classification of scientific articles published between 1990 and 1997 about depression guidelines according to its method of development.
Between 1990 and 1997, 2 clinical practice guidelines on the management of depression were published using systematic review, 3 guidelines were developed through unsystematic review, 4 guidelines were developed from experts' consensus, and 19 published articles reviewed the applicability of the existing guidelines in the primary health care sector. Different points of view about the use of these guidelines had been detected.
In the context of the evidence-based medicine, one should take into account that the overall goal of guidelines development is to ensure its validity in different health care levels, as well as to gather professionals' acceptance of its use and applicability.
在循证医学背景下设计临床实践指南的需求涉及临床病症特征、医疗保健环境、卫生服务利用以及关于研究主题的现有知识等不同方面。本研究的目的是回顾护理中抑郁症管理的指南制定方法及其在临床实践中的意义。
根据1990年至1997年间发表的关于抑郁症指南的科学文章的制定方法进行回顾和分类。
1990年至1997年间，采用系统评价方法发表了2篇关于抑郁症管理的临床实践指南，通过非系统评价制定了3篇指南，根据专家共识制定了4篇指南，19篇发表的文章回顾了现有指南在初级卫生保健部门的适用性。已发现对这些指南使用的不同观点。
在循证医学背景下，应考虑到指南制定的总体目标是确保其在不同卫生保健层面的有效性，以及获得专业人员对其使用和适用性的认可。
