Rabins P V
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA.
J Clin Psychiatry. 1998;59 Suppl 11:17-9.
Escalating health care costs and evidence that there is widespread variation in medical practice have led to the formation of more than 1800 consensus conferences in the past 10 years. These conferences seek to review the evidence that existing treatments have demonstrable efficacy; to determine if evidence favors one form of therapy over another; to review the guidelines for implementation, continuation, and discontinuation of the therapy; and to identify currently used treatments for which no benefit can be documented. This is a review of the process used by the American Psychiatric Association Task Force on Developing Treatment Guidelines for Alzheimer's Disease and Other Dementias, still in process at the time of this presentation.
不断攀升的医疗保健成本以及医学实践中存在广泛差异的证据，导致在过去十年中召开了1800多次共识会议。这些会议旨在审查现有治疗方法具有明显疗效的证据；确定证据是否支持一种治疗形式优于另一种；审查治疗实施、持续和停止的指南；并确定目前使用的但无法证明有疗效的治疗方法。这是对美国精神病学协会阿尔茨海默病和其他痴呆症治疗指南制定特别工作组所采用过程的综述，在本报告撰写之时该工作仍在进行中。
