Table of Contents

HK J Paediatr (New Series)
Vol 7. No. 1, 2002

HK J Paediatr (New Series) 2002;7:2-9

Clinical Guideline

Clinical Guidelines and Evidence-Based Medicine
臨床常規與循證醫學

BCC Lam


Abstract

In recent years, the development of evidence based Clinical Practice Guideline (CPG) has received increasing attention from medical professionals, and has been initiated at both central and local levels. Both the Paediatric Quality Assurance Sub-committee of the Hospital Authority and the Hong Kong College of Paediatricians have formed working groups to develop evidence-based CPG. This review article outlines the potential benefits and harms of CPG for patients and health care professionals. It helps the practitioners to use objective criteria to evaluate the quality of guidelines. It deals with the process of guideline development from selection of topics to dissemination and implementation. Mechanisms of behavioural change that have been recognised as being important for implementation are also discussed. The issues on conflict of clinical freedom and medico-legal implication of clinical guideline are also highlighted. This article aims at improving clinicians' understanding towards CPG and helps to promote an appropriate attitude and culture among Paediatricians towards evidence-based clinical practice.

近年來,基於循證醫學的臨床診療常規得到了很大發展,引起了醫學專業人員越來越多的注意,並在中央和地方醫院得到了採用。為進一步發展這種臨床診療常規,醫院管理局兒科質量保證小組委員會和香港兒科學院共同成立了工作小組。本文闡述了臨床診療常規對病人和醫務工作者的利與幣,有助於醫生利用客觀指標評價診療常規的優與劣。與此同時,本文亦闡述了診療常規從選題到教育與實施的發展過程,以及被認為對實施具有重要作用的醫療行為改變機制。對臨床實踐自由的爭執及臨床診療常規的醫與法的意義,本文也作了重要闡述。本文旨在提高臨床醫生對臨床診療常規的理解,幫助其形成恰當的態度,從而培養兒科醫生形成基於循證醫學的臨床實踐方法。

Keyword : Evidence-based clinical practice guideline

關鍵詞:基於循證醫學的臨床實踐

 
 

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