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[优先排序的实践——以瑞典心脏病学指南为例]

[The practice of prioritising--using the example of the Swedish cardiology guideline].

作者信息

Carlsson Jörg

机构信息

Medicinska kliniken, Länssjukhus i Kalmar, Kalmar, Schweden.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2009;103(2):92-8. doi: 10.1016/j.zefq.2009.02.013.

Abstract

In the Swedish priority guidelines, as opposed to traditional guidelines issued by professional associations, measures (in terms of condition-treatment pairs) of prevention, diagnosis, treatment and rehabilitation of cardiovascular diseases are assigned a priority value of 1 (high priority) through 10 (low priority). In its recent 2008 version this list also comprises procedures that should not be performed and those that should only be performed in the context of research projects. The government commissions the development of this list which will then be elaborated by a multi-professional team under the supervision of the National Board of Health and Welfare. In addition to scientific evidence, the prioritylists incorporate ethical and economical aspects. Examples from the Swedish guidelines will be discussed. The impact and limits of the priority lists will be described.

摘要

与专业协会发布的传统指南不同,瑞典的优先指南对心血管疾病的预防、诊断、治疗和康复措施(以病症 - 治疗组合的形式)赋予了从1(高优先级)到10(低优先级)的优先级值。在其2008年的最新版本中,该列表还包括不应实施的程序以及仅应在研究项目背景下实施的程序。政府委托制定此列表,然后由国家卫生和福利委员会监督下的多专业团队进行详细阐述。除科学证据外,优先级列表还纳入了伦理和经济方面的因素。将讨论瑞典指南中的示例。将描述优先级列表的影响和局限性。

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