EA 4129 Santé, Individu, Société, unité cancer et environnement, centre Léon-Bérard, université de Lyon-1, 28, rue Laënnec, 69373 Lyon cedex 08, France.
J Visc Surg. 2010 Dec;147(6):e341-9. doi: 10.1016/j.jviscsurg.2010.10.010. Epub 2010 Nov 18.
Transferring results of research into clinical practice and their effective use for decisions in health care have become a major concern and are pivotal to quality improvement. Among the tools that have been developed are clinical practice guidelines (CPG). Developing reliable and valid recommendations requires a rigorous methodological approach that combines a systematic review of the results of clinical research with expert, pondered and explicit judgment. Guaranteeing applicability and implementation of these recommendations implies asking the question of how acceptable the recommendations are for the patient, the availability of the procedure and the expertise necessary in the specific context as well as identification of the organizational impact when put into action. CPG are a source of information not only for physicians but also for policy makers, insurance institutions, continued education programs and production of information for high quality decision making for patients.
将研究结果转化为临床实践并将其有效地用于医疗保健决策已成为一个主要关注点，也是质量改进的关键。为此已经开发了一些工具，其中包括临床实践指南（CPG）。制定可靠和有效的建议需要一种严格的方法，将对临床研究结果的系统评价与专家深思熟虑和明确的判断相结合。保证这些建议的适用性和实施意味着要问一个问题，即这些建议对患者、程序的可用性和特定环境下所需的专业知识的可接受程度如何，以及在付诸实施时对组织影响的识别。CPG 不仅是医生的信息来源，也是决策者、保险机构、继续教育计划和为患者做出高质量决策的信息来源。
