What Are the Different Types of Practice Guidelines?

Clinical practice guidelines are defined as "people based on specific clinical situations. Systematically developed guidelines to help clinicians and patients make appropriate treatments." This definition does not seem very esoteric. "Specific clinical conditions" refers to common and significant clinical conditions such as "hepatitis B", hypertension, cough, hemorrhoids, and pancreatitis. The connotation of "system formulation" is profound. I will introduce it later; what I have emphasized is that the guidelines in the definition are not only for doctors, but especially important for "patients". This is just ignored! Few patients know what the guidelines are and what new perspectives and opinions they have. World-renowned cardiology expert Professor C. Richard Conti of the University of Florida School of Medicine in the "WhatmakesaGoodDoctor?" Report said "a good doctor should be an educator", asking himself, in the clinical practice guidelines that focus on the current best medical evidence The content is to carry out science education for patients.

Clinical Practice Guide

Clinical practice guidelines are defined as "people based on specific clinical situations. Systematically developed guidelines to help clinicians and patients make appropriate treatments." This definition does not seem very esoteric, and "specific clinical situation" means something like "

Clinical practice guidelines are defined as "people based on specific clinical situations. Systematically developed guidelines to help clinicians and patients make appropriate treatments."

The guidelines embodying the essence of evidence-based medicine have become an integral part of clinical practice in modern medicine for only nearly 20 years. In China, they have not yet become the mainstream of clinical practice.

The generation of guidelines is related to the following three factors:

1. The unreasonable and extremely different clinical practice of traditional empirical medicine. Traditionally, physicians' decision-making for patients is based on personal professional training and clinical experience. It is based on theoretical derivation or personal experience gained from previous cases. The difference is amazing! And common sense tells us that these experiences cannot all be reliable. Fieldm and Lohrm's research shows that only 4% of traditional clinical decisions are supported by strong clinical research evidence, 45% have cautious clinical research evidence and there is a certain consensus among doctors, and 51% not only lack reliable evidence There is also a lack of consensus among physicians (Institute of Medicine, 1992). In the 1980s, in a state in the United States, the tonsillectomy rate of children in different communities could be 8% and 70%. The differences between Chinese and foreign doctors make us wonder whether Chinese medicine is really modern medicine. A comparative study on the treatment of acute ischemic stroke in China and the United Kingdom found that the use rate of Chinese doctors, glycerol / mannitol is 69%, only 1% in the United Kingdom; Chinese doctors use hormones 19%, calcium antagonists 53%, the United Kingdom <1%; with Chinese medicine, snake venom, low molecular dextran in China 66%, 30% and 44%

What is the best evidence? Simply put, the best evidence breaks away any superstitions of authority and classics, it only recognizes rigorously tested facts! Evidence-based medicine divides evidence into five levels. Level I evidence is the most reliable. It comes from a meta-analysis of multiple well-designed RCTs (ie, randomized controlled double-blind clinical trials). Level 5 evidence is the case report and clinical summary and expert opinion. Personal experiences or anecdotes are not strictly "evidence" at all. The problem is that this evidence is lost in more than 2 million biomedical literatures worldwide, not to mention patients, and even doctors have difficulty finding them correctly. Evidence-based medicine solves this problem. It has a group of academically accomplished clinical epidemiologists, clinical specialists in various specialties, clinical and health statisticians, social medical scientists, and medical science information workers. The best research results are collected, analyzed and evaluated in the literature, and finally guides are formed. This guide basically reflects the best research status in related fields. It is the most powerful weapon for clinicians and the most convenient method.