WANG Liying, ZHAO Xueyao, YU Wenya, et al. Comparison of Clinical Practice Guidelines with Clinical Pathways and Diagnosis & Treatment Schemes in Chinese Medicine[J]. Journal of Traditional Chinese Medicine2015, 56(24): 2112-2115.
WANG Liying, ZHAO Xueyao, YU Wenya, et al. Comparison of Clinical Practice Guidelines with Clinical Pathways and Diagnosis & Treatment Schemes in Chinese Medicine[J]. Journal of Traditional Chinese Medicine2015, 56(24): 2112-2115.DOI: 10.13288/j.11-2166/r.2015.24.011.
Comparison of Clinical Practice Guidelines with Clinical Pathways and Diagnosis & Treatment Schemes in Chinese Medicine
Objective To analyze the consistency degree of recommended syndromes and prescriptions among Chinese medical clinical practice guidelines
Chinese medical clinical pathways and matched Chinese medical diagnosis and treatment schemes
in order to provide data support for promoting compatibility and unity of Chinese medical clinical practice guidelines
Chinese medical clinical pathways and Chinese medical diagnosis and treatment schemes.Methods The basic information was extracted from 422 Chinese medical clinical practice guidelines issued by the China Association of Chinese Medicine
and Chinese medical clinical pathways and matched Chinese medical diagnosis and treatment schemes about 304 kinds of disease issued by the Department of Medical Administration of the State Administration of Traditional Chinese Medicine. Differences and similarities of the information on involved diseases
members of drafting panels
syndromes and prescriptions in those documents were compared
and the the Jaccard coefficient method was used to analyze the similarity of syndrome classification and prescriptions. Results There are 183 identical diseases in Chinese medical clinical practice guidelines
Chinese medical clinical pathways and Chinese medical diagnosis and treatment schemes. In disease diagnosis
syndrome classification and therapeutic schedule of Chinese medical clinical pathways the quotation proportions of Chinese medical clinical practice guidelines accounted for 22. 47%
2. 25% and 44. 94%
respectively. The similarity of recommended syndrome classification was 0. 54 between Chinese medical clinical practice guidelines and Chinese medical diagnosis & treatment schemes
and the totally identical content accounted for 18%. The similarity of recommended prescriptions was 0. 38 between Chinese medical clinical practice guidelines and Chinese medical diagnosis and treatment schemes
and diseases with the same syndrome and recommended prescription accounted for 48. 68%. Conclusion There are many differences between Chinese medical clinical practice guidelines and Chinese medical clinical pathways as well as Chinese medical diagnosis and treatment schemes
especially in syndrome classification. Methodological study should be strengthened in establishment of Chinese medical clinical practice guidelines
Chinese medical clinical pathways and Chinese medical diagnosis and treatment scheme
especially in the standard development for Chinese medicine syndrome classification.
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