Kroegel C
Medizinische Klinik IV-Pneumologie, Friedrich-Schiller-Universität Jena.
Med Klin (Munich). 1997 Oct 15;92(10):621-5. doi: 10.1007/BF03044790.
Medical guidelines provide boundaries that are established for the medical community, within which clinical practice is considered to be acceptable. The main purpose for such guidelines is to improve the quality of care for patients. This can only be accomplished, however, if these documents are accepted and used effectively. In turn, acceptance of therapy guidelines essentially depends on both the structure and the presentation of the contents. GUIDELINES FOR THE TREATMENT OF ASTHMA were first issued in 1994 by the Deutsche Atemwegsliga. Since then, almost 4 years have passed, and our knowledge of the pathogenesis of asthma and drug efficacy has improved significantly. In addition, new classes of antiasthmatic drugs will be soon available. These developments make it necessary to adapt the guidelines to current knowledge.
The paper proposes several aspects on improving the present guidelines and aims at fueling future discussions.
医学指南为医学界设定了界限，在此界限内临床实践被认为是可接受的。此类指南的主要目的是提高患者的护理质量。然而，只有当这些文件被接受并有效使用时，这一目标才能实现。反过来，治疗指南的接受程度在很大程度上取决于其结构和内容呈现方式。《哮喘治疗指南》最初由德国呼吸协会于1994年发布。自那时起，已过去近4年，我们对哮喘发病机制和药物疗效的认识有了显著提高。此外，新型抗哮喘药物即将问世。这些进展使得有必要使指南与当前知识相适应。
本文就改进现有指南提出了几个方面的内容，旨在推动未来的讨论。
