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[日本医疗质量理事会制定临床实践指南第2版的思维指南 -循证医学实践-]

[Minds Guide for Developing Clinical Practice Guidelines Ver. 2.0 by Japan Council for Quality Health Care -Practice of EBM-].

作者信息

Hashimoto Ryota

出版信息

Seishin Shinkeigaku Zasshi. 2017;119(3):158-165.

PMID:30620850
Abstract

Minds (Medical Information Network Distribution Service) is an information service provided by the Japan Council for Quality Health Care (JCQHC), a public interest incorporated foundation. The Minds guide for developing clinical practice guidelines was published in 2014. The aim of the Minds project is to help medical practitioners fully utilize information related to evidence-based medicine (EBM) in their practice. Minds also provides patients and the public with information to help understand the basics of diseases and share up-to-date evi- dence with doctors, on which modern medical practices are based. Overall, clinical practice guidelines are made up as follows : 1) a three-layered structure of guideline committees con- sisting of a managing committee, guideline creation team, and a systematic review team, 2) a clear description of the basis for an individual's judgment and COI, 3) evaluation of the body of evidence summarized for every outcome and study design in all selected research reports for each Clinical Question (CQ), and 4) not only the "benefit" but also the "harm" in the patient outcome caused by intervention are to be included in the evaluation. According to the Minds method, the Japanese Society of Neuropsychopharmacology has created a "Guidelines for Pharmacological Therapy of Schizophrenia." These guidelines were introduced to explain the characteristics of the Minds method in this paper. The Effectiveness of GUIdelines for Dissemination and Education in psychiatric treatment project (EGUIDE proj- ect) was also introduced to disseminate and evaluate these guidelines.

摘要

Minds(医学信息网络分发服务)是由公益法人日本医疗质量理事会(JCQHC)提供的一项信息服务。《临床实践指南制定的Minds指南》于2014年发布。Minds项目的目的是帮助医学从业者在实践中充分利用与循证医学(EBM)相关的信息。Minds还向患者和公众提供信息,以帮助他们了解疾病的基础知识,并与医生分享作为现代医学实践基础的最新证据。总体而言,临床实践指南的构成如下:1)由管理委员会、指南制定团队和系统评价团队组成的三层指南委员会结构;2)对个人判断依据和利益冲突的清晰描述;3)对每个临床问题(CQ)所有选定研究报告中针对每种结果和研究设计总结的证据主体进行评估;4)评估不仅要包括干预措施给患者带来的“益处”,还要包括“危害”。根据Minds方法,日本神经精神药理学会制定了《精神分裂症药物治疗指南》。本文引入这些指南以解释Minds方法的特点。还介绍了精神科治疗项目中指南传播与教育的有效性(EGUIDE项目),以传播和评估这些指南。

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