Clinical Practice Guideline

Clinical practice guidelines are commonly defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” The issues underlying the increasing interest in clinical practice guidelines are concerns over q...

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Published inIgaku Toshokan Vol. 49; no. 4; pp. 340 - 348
Main Author HIRAWA, Mariko
Format Journal Article
LanguageJapanese
Published The Japan Medical Library Association 2002
Subjects
Evidence-Based Medicine
Practice Guidelines
Online AccessGet full text
ISSN0445-2429
1884-5622
DOI10.7142/igakutoshokan.49.340

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Abstract Clinical practice guidelines are commonly defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” The issues underlying the increasing interest in clinical practice guidelines are concerns over quality of care, marked variation in physician practice, and increasing costs. Many believe that guidelines can serve as a vehicle to address these problems. While clinical practice guidelines are produced by various organizations, such as medical societies or associations, in Japan, they are hardly ever accessible to the public. We at the Medical Media Center of Toho University are compiling relevant guideline information, and a list is available to the public on the Media Center Home Page. In this article I discuss the concept and prospects for the future development of guidelines, embracing the issue of the “EBM Health Care Information Service” as well as overseas counterparts.
AbstractList Clinical practice guidelines are commonly defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” The issues underlying the increasing interest in clinical practice guidelines are concerns over quality of care, marked variation in physician practice, and increasing costs. Many believe that guidelines can serve as a vehicle to address these problems. While clinical practice guidelines are produced by various organizations, such as medical societies or associations, in Japan, they are hardly ever accessible to the public. We at the Medical Media Center of Toho University are compiling relevant guideline information, and a list is available to the public on the Media Center Home Page. In this article I discuss the concept and prospects for the future development of guidelines, embracing the issue of the “EBM Health Care Information Service” as well as overseas counterparts.
Author HIRAWA, Mariko
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References 7) 野添篤毅. 診療ガイドライン作成過程における文献検索. 平成13年度総括・分担研究報告書厚生科学研究費補助金21世紀型医療開拓推進 日本におけるEBMのためのデータベース構築および提供利用に関する調査研究. 2002. p. 20-4.
3) 寺本民生. 本邦でのエビデンスに立脚した高脂血症診療ガイドラインの再構築. 日本臨床 2002; 60 (5): 899-907.
15) Agency for Healthcare Research and Quality. Clinical Practice Guidelines Online [internet]. http://www.ahrq.gov/clinic/cpgonline.htm [accessed 2002-10-2].
13) 小田中徹也, 首藤佳子, 松本純子, 大橋真紀子, 須井麻由美, 吉岡陽子他. 診療ガイドライン作成におけるメソドロジストと病院図書館員とのワーキンググループ活動. 医学図書館 2001; 48 (4): 418-23.
4) 厚生労働省.「医療技術評価推進検討会」報告書について [internet]. http://www1.mhlw.go.jp/houdou/1103/h0323-1_10.html [accessed 2002-10-2].
8) Haywarsd RS, Wilson MC, Tunis SR, Bass EB, Guyatt G. (伊野宮興志訳). 臨床診療ガイドラインの使い方A. 勧告は正しいか? JAMA日本語版 1997; 18 (1): 70-7.
11) 日本循環器学会, 日本心臓病学会, 日本動脈硬化学会, 日本高血圧学会, 日本糖尿病学会, 日本老年医学会 他. 虚血性心疾患の一次予防ガイドライン Japanese Circulation Journal 2001; 65 (Suppl. 5): 999-1065.
5) 財団法人日本医療機能評価機構. EBM医療情報サービス事業 [internet]. http://www.ebm.jcqhc.or.jp/ [accessed 2002-10-2].
17) National Guideline Clearinghouse [internet]. http://www.guideline.gov/index.asp [accessed 2002-10-2].
1)「EBMの普及のためのシラバス作成と教育方法およびEBMの有効性評価に関する研究」班,「日本におけるEBMのためのデータベース構築及び提供利用に関する調査研究」班. 診療ガイドラインの作成の手順 ver. 4. 3. [inernet]. http://www.iph.go.jp/glgl-4.3rev.htm [accessed 2002-10-2].
6) Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA 1999; 281 (20): 1900-5.
18) National Institute for Clinical Excellence [internet]. http://www.nice.org.uk/ [accessed 2002-10-2].
2) 小出大介. ガイドラインとEBM. 診断と治療 2001; 89 (9): 1414-20.
10) Evidence-Based Medicine Working Group. (開原成允, 浅井泰博監訳). JAMA医学文献の読み方. 東京: 中山書店; 2001.
12) JHES: 日本ハンドサーチ・エレクトロニックサーチ研究会 [internet]. http://jhes.umin.ac.jp/ [accessed 2002-10-2].
16) 李啓充. 米国における診療ガイドラインの現状. EBMジャーナル 2000; 1 (4): 420-3.
20) 久島昌弘. EBM支援型電子カルテMAJUNの運用と展望. 新医療 2002; 29 (9): 99-102.
9) Wilson MC, Hayward RS, Tunis SR, Bass EB, Guyatt G. (伊野宮興志訳). 臨床診療ガイドラインの使い方B. 勧告の内容は何か. それはあなたの患者の治療に役立つか? JAMA日本語版 1997; 18 (5): 97-101.
14) 阿部信一. ガイドライン作成 (白内障) における文献検索過程. 平成13年度総括・分担研究報告書厚生科学研究費補助金 21世紀型医療開拓推進日本におけるEBMのためのデータベース構築および提供利用に関する調査研究. 2002. p. 31-42.
19) National electronic Library for Health [internet]. http://www.nelh.nhs.uk/ [accessed 2002-10-2].
References_xml – reference: 8) Haywarsd RS, Wilson MC, Tunis SR, Bass EB, Guyatt G. (伊野宮興志訳). 臨床診療ガイドラインの使い方A. 勧告は正しいか? JAMA日本語版 1997; 18 (1): 70-7.
– reference: 16) 李啓充. 米国における診療ガイドラインの現状. EBMジャーナル 2000; 1 (4): 420-3.
– reference: 1)「EBMの普及のためのシラバス作成と教育方法およびEBMの有効性評価に関する研究」班,「日本におけるEBMのためのデータベース構築及び提供利用に関する調査研究」班. 診療ガイドラインの作成の手順 ver. 4. 3. [inernet]. http://www.iph.go.jp/glgl-4.3rev.htm [accessed 2002-10-2].
– reference: 15) Agency for Healthcare Research and Quality. Clinical Practice Guidelines Online [internet]. http://www.ahrq.gov/clinic/cpgonline.htm [accessed 2002-10-2].
– reference: 5) 財団法人日本医療機能評価機構. EBM医療情報サービス事業 [internet]. http://www.ebm.jcqhc.or.jp/ [accessed 2002-10-2].
– reference: 9) Wilson MC, Hayward RS, Tunis SR, Bass EB, Guyatt G. (伊野宮興志訳). 臨床診療ガイドラインの使い方B. 勧告の内容は何か. それはあなたの患者の治療に役立つか? JAMA日本語版 1997; 18 (5): 97-101.
– reference: 13) 小田中徹也, 首藤佳子, 松本純子, 大橋真紀子, 須井麻由美, 吉岡陽子他. 診療ガイドライン作成におけるメソドロジストと病院図書館員とのワーキンググループ活動. 医学図書館 2001; 48 (4): 418-23.
– reference: 19) National electronic Library for Health [internet]. http://www.nelh.nhs.uk/ [accessed 2002-10-2].
– reference: 18) National Institute for Clinical Excellence [internet]. http://www.nice.org.uk/ [accessed 2002-10-2].
– reference: 2) 小出大介. ガイドラインとEBM. 診断と治療 2001; 89 (9): 1414-20.
– reference: 11) 日本循環器学会, 日本心臓病学会, 日本動脈硬化学会, 日本高血圧学会, 日本糖尿病学会, 日本老年医学会 他. 虚血性心疾患の一次予防ガイドライン Japanese Circulation Journal 2001; 65 (Suppl. 5): 999-1065.
– reference: 12) JHES: 日本ハンドサーチ・エレクトロニックサーチ研究会 [internet]. http://jhes.umin.ac.jp/ [accessed 2002-10-2].
– reference: 6) Shaneyfelt TM, Mayo-Smith MF, Rothwangl J. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA 1999; 281 (20): 1900-5.
– reference: 3) 寺本民生. 本邦でのエビデンスに立脚した高脂血症診療ガイドラインの再構築. 日本臨床 2002; 60 (5): 899-907.
– reference: 7) 野添篤毅. 診療ガイドライン作成過程における文献検索. 平成13年度総括・分担研究報告書厚生科学研究費補助金21世紀型医療開拓推進 日本におけるEBMのためのデータベース構築および提供利用に関する調査研究. 2002. p. 20-4.
– reference: 14) 阿部信一. ガイドライン作成 (白内障) における文献検索過程. 平成13年度総括・分担研究報告書厚生科学研究費補助金 21世紀型医療開拓推進日本におけるEBMのためのデータベース構築および提供利用に関する調査研究. 2002. p. 31-42.
– reference: 17) National Guideline Clearinghouse [internet]. http://www.guideline.gov/index.asp [accessed 2002-10-2].
– reference: 4) 厚生労働省.「医療技術評価推進検討会」報告書について [internet]. http://www1.mhlw.go.jp/houdou/1103/h0323-1_10.html [accessed 2002-10-2].
– reference: 20) 久島昌弘. EBM支援型電子カルテMAJUNの運用と展望. 新医療 2002; 29 (9): 99-102.
– reference: 10) Evidence-Based Medicine Working Group. (開原成允, 浅井泰博監訳). JAMA医学文献の読み方. 東京: 中山書店; 2001.
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SubjectTerms Evidence-Based Medicine
Practice Guidelines
Title Clinical Practice Guideline
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