Hayward R S, Wilson M C, Tunis S R, Guyatt G H, Moore K A, Bass E B
Department of Medicine, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
J Gen Intern Med. 1996 Mar;11(3):176-8. doi: 10.1007/BF02600272.
To determine features of the presentation of clinical practice guidelines that may enhance their use by internists, we conducted a cross-sectional survey to which 1,513 (60%) of 2,513 eligible internists responded. Endorsements by respected colleagues and by major organizations were identified as very important by 72% and 69% of respondents, respectively. Respondents preferred short pamphlets and manuals summarizing a number of guidelines and felt that concise recommendations (86%), synopsis of supporting evidence (85%), and quantification of benefit (77%) were important in guideline presentation. We conclude that guideline developers should gain the endorsement of major organizations and present key aspects in brief, easily assimilated formats.
为确定可能提高内科医生对临床实践指南使用率的指南呈现特征，我们开展了一项横断面调查，2513名符合条件的内科医生中有1513人（60%）回复了调查。分别有72%和69%的受访者认为，受尊敬同事的认可和主要组织的认可非常重要。受访者更喜欢总结若干指南的简短手册，并认为在指南呈现中，简明的推荐意见（86%）、支持证据的概要（85%）以及获益的量化（77%）很重要。我们得出结论，指南制定者应获得主要组织的认可，并以简短、易于理解的形式呈现关键内容。
