Construction and application of the management system for guidelines, consensuses and standards in a clinical research center
10.3760/cma.j.cn111325-20241022-00893
- VernacularTitle:某临床医学研究中心指南、共识和标准管理体系的建设与应用
- Author:
Daiping LI
1
;
Zhongli YANG
1
;
Qiukui HAO
1
;
Jirong YUE
1
;
Li CAO
1
;
Birong DONG
1
Author Information
1. 四川大学华西医院国家老年疾病临床医学研究中心，成都 610041
- Publication Type:Journal Article
- Keywords:
Geriatrics;
Guidelines;
Consensus;
Standards;
National clinical research center
- From:
Chinese Journal of Hospital Administration
2025;41(5):390-397
- CountryChina
- Language:Chinese
-
Abstract:
Guidelines, consensuses and standards play a significant role in guiding clinical diagnosis and treatment practices, optimizing the allocation of medical resources and reducing medical costs. To fully leverage the pivotal role of the National Clinical Research Center as a bridge between research evidence, recommendations of guidelines, consensuses and standards, and clinical practice, it is particularly urgent to construct a set of appropriate and efficient management system for guidelines, consensuses and standards. The National Clinical Research Center for Geriatric of West China Hospital, Sichuan University (hereinafter referred to as the center) has set the overall goal of " transparency, standardization, coordination, linkage and innovation leadership" and three phased goals of " achieving scientific, transparent and applicable management" " improving the multi-level, multi-subject coordination and linkage mechanism" and " promoting the homogenization of diagnosis and treatment services, process guarantee and standardized management" to explore the establishment of a management system for guidelines, consensuses and standards. Under this framework, the center has established the management committee and office for guidelines, consensuses and standards; build a dual-channel funding support model of " out-of-hospital+ in-hospital", established differentiated implementation models and formulated standardized processes; respectively formed clinical expert groups, methodology expert groups and evidence synthesis working groups, and carried out personnel training; and constructed a support platform for formulation, evaluation and promotion. As of October 2024, relying on the established management system for guidelines, consensuses and standards, the center has achieved a series of results in three aspects: formulating international evidence-based clinical practice guidelines, establishing a system of guidelines, consensuses and standards for geriatric disability, and building a standard system for medical and nursing integration, which has strongly supported clinical practice and the improvement of people′s livelihood by the government, and preliminarily completed the construction goals of the first phase, and can provide references for medical institutions committed to building a management system for guidelines, consensuses and standards.
