Bond C M, Grimshaw J M
Department of General Practice, University of Aberdeen, Foresterhill Health Centre.
Health Bull (Edinb). 1995 Jan;53(1):26-33.
There is increasing interest in the role of clinical guidelines to encourage appropriate care. However, if guidelines are to achieve this, they need to be scientifically valid in the sense that, when followed, they lead to the health gains projected from them. Multi-disciplinary involvement in guideline development is desirable and is likely to promote validity. However, there are difficulties inherent in multidisciplinary guideline development relating to professional hierarchies and mutual ignorance of different professionals' skills and modus operandi which have not previously been addressed in the literature. In this paper, we describe in detail the processes involved in the multidisciplinary development of guidelines for community pharmacy management of dyspepsia and discuss the practical issues and problems encountered.
人们越来越关注临床指南在鼓励合理治疗方面的作用。然而，如果指南要实现这一目标，它们需要在科学上是有效的，即遵循这些指南时，能够带来预期的健康益处。多学科参与指南制定是可取的，并且可能会提高有效性。然而，多学科指南制定存在一些固有的困难，涉及专业等级制度以及不同专业人员对彼此技能和工作方式的相互不了解，而这些问题在以往的文献中尚未得到解决。在本文中，我们详细描述了消化不良社区药房管理指南多学科制定过程中所涉及的步骤，并讨论了遇到的实际问题。
