PDF(Pubmed)
Abstract：
UNASSIGNED: Standard Treatment Guidelines (STGs) are time-tested tool to improve healthcare quality and patient safety. This study was done to review the available guidelines and assess their essential attributes using AGREE reporting checklist 2016.
UNASSIGNED: Publications from PubMed, World Health Organization, Global Health Regional Libraries, Index Medicus, Google, Google Scholar, and insurers, state/central government portals were searched.
UNASSIGNED: In total, 241 STGs met the inclusion criteria. A range of developers with a varying focus and priorities developed these guidelines (government mostly under national programs 134 (56%); professional associations 67 (28%), academic/research institutions 36 (15%); international agencies 4 [2%]). The government-led guidelines focused on program operations (mainly infections, maternal, and childcare), whereas insurers focused on surgical procedures for protection against fraudulent intentions for claims. The available STGs varied largely in terms of development process rigor, end-user involvement, updation, applicability, etc.; 12% guidelines developed documented GRADE criteria for evidence. Most guidelines focused on the primary care, and only 27 and 7% included treatment at tertiary and secondary levels, respectively, focused on general practitioners.
UNASSIGNED: There is a need for coordinated, and collaborative efforts to generate evidence-based guidelines, facilitate periodic revisions, standardized development process, and the standards for monitoring embedded in the guidelines. A single designated authority for the standard treatment guidelines development and a central web-based repository with free access for clinicians/users will ensure wide access to quality guidelines enhancing acceptance and stewardship.
UNASSIGNED: Publications from PubMed, World Health Organization, Global Health Regional Libraries, Index Medicus, Google, Google Scholar, and insurers, state/central government portals were searched.
UNASSIGNED: In total, 241 STGs met the inclusion criteria. A range of developers with a varying focus and priorities developed these guidelines (government mostly under national programs 134 (56%); professional associations 67 (28%), academic/research institutions 36 (15%); international agencies 4 [2%]). The government-led guidelines focused on program operations (mainly infections, maternal, and childcare), whereas insurers focused on surgical procedures for protection against fraudulent intentions for claims. The available STGs varied largely in terms of development process rigor, end-user involvement, updation, applicability, etc.; 12% guidelines developed documented GRADE criteria for evidence. Most guidelines focused on the primary care, and only 27 and 7% included treatment at tertiary and secondary levels, respectively, focused on general practitioners.
UNASSIGNED: There is a need for coordinated, and collaborative efforts to generate evidence-based guidelines, facilitate periodic revisions, standardized development process, and the standards for monitoring embedded in the guidelines. A single designated authority for the standard treatment guidelines development and a central web-based repository with free access for clinicians/users will ensure wide access to quality guidelines enhancing acceptance and stewardship.
摘要：
UASSIGNED：标准治疗指南（STGs）是经过时间考验的工具，可提高医疗质量和患者安全。这项研究是为了审查可用的指南，并使用2016年AGREE报告清单评估其基本属性。
UNASSIGNED：PubMed的出版物，世界卫生组织,全球卫生区域图书馆，IndexMedicus,Google,谷歌学者，和保险公司，搜索了州/中央政府门户网站。
未经批准：总共，241名STGs符合纳入标准。一系列具有不同重点和优先事项的开发人员制定了这些指南（政府主要根据国家计划134（56％）;专业协会67（28％），学术/研究机构36(15%)；国际机构4[2%])。政府主导的指导方针侧重于项目运营(主要是感染，母性,和儿童保育)，而保险公司专注于外科手术，以防止欺诈索赔意图。可用的STGs在开发过程的严谨性方面差异很大，最终用户的参与，更新，适用性,等。；12%的指南制定了记录的证据等级标准。大多数指南都集中在初级保健上，只有27%和7%包括三级和二级治疗，分别,专注于全科医生。
UNASSIGNED：需要协调，以及协作努力制定循证指南，促进定期修订，标准化的开发过程，以及指南中嵌入的监测标准。制定标准治疗指南的单一指定机构和基于网络的中央存储库，临床医生/用户可以免费访问，这将确保广泛访问质量指南，从而提高接受度和管理水平。
UNASSIGNED：PubMed的出版物，世界卫生组织,全球卫生区域图书馆，IndexMedicus,Google,谷歌学者，和保险公司，搜索了州/中央政府门户网站。
未经批准：总共，241名STGs符合纳入标准。一系列具有不同重点和优先事项的开发人员制定了这些指南（政府主要根据国家计划134（56％）;专业协会67（28％），学术/研究机构36(15%)；国际机构4[2%])。政府主导的指导方针侧重于项目运营(主要是感染，母性,和儿童保育)，而保险公司专注于外科手术，以防止欺诈索赔意图。可用的STGs在开发过程的严谨性方面差异很大，最终用户的参与，更新，适用性,等。；12%的指南制定了记录的证据等级标准。大多数指南都集中在初级保健上，只有27%和7%包括三级和二级治疗，分别,专注于全科医生。
UNASSIGNED：需要协调，以及协作努力制定循证指南，促进定期修订，标准化的开发过程，以及指南中嵌入的监测标准。制定标准治疗指南的单一指定机构和基于网络的中央存储库，临床医生/用户可以免费访问，这将确保广泛访问质量指南，从而提高接受度和管理水平。
