Helou A, Perleth M, Bitzer E M, Dörning H, Schwartz F W
Abtl. Epidemiologie, Sozialmedizin und Gesundheitssystemforschung Institut für Sozialmedizin, Medizinische Hochschule Hannover.
Z Arztl Fortbild Qualitatssich. 1998 Aug;92(6):421-8.
Critics claim that most of the German clinical practice guidelines are of poor quality having produced by informal ad hoc methodologies without a rigorous approach. This paper reports on the systematic appraisal of 329 guidelines published online by the Association of the Scientific Medical Societies (AWMF) in Germany. The results of this study suggest that most of the guidelines presented in Internet do not meet internationally recognised criteria for quality. Proposals are offered how to enhance the methodological quality of future guidelines.
批评者称，德国大多数临床实践指南质量欠佳，是通过非正式的临时方法制定的，缺乏严谨性。本文报告了对德国科学医学协会（AWMF）在线发布的329份指南的系统评估。这项研究结果表明，互联网上呈现的大多数指南不符合国际认可的质量标准。文中提出了提高未来指南方法质量的建议。
