Guideline for [Clinical Guidelines Constitution/Amendment] in China. (2nd November 2018)

• Record Type: Journal Article
• Authors: Jiang, Zhu-ming; Zhan, Si-yan; Zuo, Li; Jia, Xiao-wei; Fang, Hai; Li, Xiao-xiao; Ye, Xin; Gao, Run-lin
• Is Part Of: International journal for quality in health care. Volume 31:Number 7(2019)
• Page Start: 568
• Page End: 574
• Publication Date: 2018-11-02
• Subjects: quality improvement -- guidelines -- standards; Medical care -- Quality control -- Periodicals; 362.1068
• DOI: 10.1093/intqhc/mzy214
• Languages: English
• ISSNs: 1353-4505

Abstract

Abstract: Quality problem or issue: Chinese medical institutions need clinical guidelines to improve healthcare quality. Unfamiliarity with clinical methodology and procedures leads to poor quality. Initial assessment: This study examined 327 clinical guidelines made in China during the period of 2006–10 and found these clinical guidelines have many problems in terms of guideline making procedures-compliant process, conflicts of interest disclosure. Choice of solution: Chinese Medical Association organized a working group in 2014 to make a national [Guideline for Clinical Guidelines Constitution/Amendment] and invited multidiscipline experts to prove its possibility. Implementation: Experts investigated and reviewed numerous domestic and foreign published literature within the past 2 years, concluded that a clinical guideline should have following seven components: I. Objective; II. General Principle; III. Procedure and Methodology; IV. Confirmation, Publication and Dissemination; V. Update and Amendment; VI. Implementation and Outcome Validation; VII. Reference. Evaluation: The [Guideline for Clinical Guidelines Constitution/Amendment] will improve the quality of Chinese clinical guidelines and regulate applications, as well as outcome evaluations of clinical guidelines in China. Lessons learned: Standardized methodology and procedures are important for constituting high-quality clinical guidelines.