Hommersom Arjen, Groot Perry, Lucas Peter, Marcos Mar, Martínez-Salvador Begoña
Radboud University Nijmegen, Toernooiveld 1, 6525 ED Nijmegen the Netherlands.
Stud Health Technol Inform. 2008;139:213-22.
Medical guidelines and protocols are documents aimed at improving the quality of medical care by offering support in medical decision making in the form of management recommendations based on scientific evidence. Whereas medical guidelines are intended for nation-wide use, and thus omit medical management details that may differ among hospitals, medical protocols are aimed at local use, e.g., within hospitals, and, therefore, include more detailed information. Although a medical guideline and an associated protocol concerning the management of a particular disorder are related to each other, one question is to what extent they are different. Formal methods are applied to shed light on this issue. A Dutch medical guideline regarding the treatment of breast cancer, and a Dutch protocol based on it, are taken as an example.
医学指南和医疗规程是以基于科学证据的管理建议形式为医疗决策提供支持，旨在提高医疗质量的文件。医学指南供全国使用，因此省略了各医院可能不同的医疗管理细节，而医疗规程则针对局部使用，例如在医院内部使用，所以包含更详细的信息。尽管关于某一特定疾病管理的医学指南和相关规程相互关联，但一个问题是它们在多大程度上存在差异。应用形式化方法来阐明这一问题。以一份关于乳腺癌治疗的荷兰医学指南及其在此基础上制定的荷兰规程为例。
