申泉;罗旭飞;石安娅;雷若冰;吕萌;侯天春;张姝;刘恩梅;李秋;陈耀龙;
SHEN Quan;LUO Xufei;SHI An'ya;LEI Ruobing;LYU Meng;HOU Tianchun;ZHANG Shu;LIU Enmei;LI Qiu;CHEN Yaolong;Chevidence Lab of Child & Adolescent Health,Children's Hospital of Chongqing Medical University;National Clinical Research Center for Child Health and Disorders;Ministry of Education Key Laboratory of Child Development and Disorders;Chongqing Key Laboratory of Pediatrics;Evidence-based Medicine Center,School of Basic Medical Sciences,Lanzhou University;The Second School of Clinical Medical,Lan

• 1:重庆医科大学附属儿童医院儿童卓越证据与指南协同创新实验室
• 2:国家儿童健康与疾病临床医学研究中心
• 3:儿童发育疾病研究教育部重点实验室
• 4:儿科学重庆市重点实验室

摘要(Abstract)：

临床实践指南可以促进临床诊疗规范化，提高医疗服务质量。但是，指南在传播与实施过程中可能存在多种障碍因素，导致其对临床实践的规范性及患者结局的有效性并未完全体现。主要障碍在于非结构化的文本指南不便于临床医生查阅和使用，阻碍了指南在临床实践中的应用。因此，本文通过介绍决策树模型，阐述将文本化的指南转化为结构化决策树的方法，提出基于临床实践指南设计决策树的优点、难点及解决策略，为推动文本化临床实践指南的转化提供参考。
Clinical practice guidelines can facilitate the standardization of the diagnosis and treatment and improve health care quality. However, there are barriers to guideline dissemination and implementation, thus impeding the standardization of clinical practice and improvement of patient outcomes. One major barrier is that it is difficult for doctors to read and understand the unstructured text-based guidelines, and apply them in real clinical practice. This paper introduces the design of decision trees based on clinical practice guidelines, and the advantages, challenges and solutions of this approach, with the hope of providing references for promoting the transformation of textual clinical practice guidelines.

关键词(KeyWords)： 临床实践指南;实施;决策树
clinical practice guideline;implementation;decision tree

Abstract:

Keywords:

基金项目(Foundation): 重庆医科大学附属儿童医院国家儿童健康与疾病临床医学研究中心2022年临床医学研究重点项目(NCRCCHD-2022-KP)~~

作者(Authors): 申泉;罗旭飞;石安娅;雷若冰;吕萌;侯天春;张姝;刘恩梅;李秋;陈耀龙;
SHEN Quan;LUO Xufei;SHI An'ya;LEI Ruobing;LYU Meng;HOU Tianchun;ZHANG Shu;LIU Enmei;LI Qiu;CHEN Yaolong;Chevidence Lab of Child & Adolescent Health,Children's Hospital of Chongqing Medical University;National Clinical Research Center for Child Health and Disorders;Ministry of Education Key Laboratory of Child Development and Disorders;Chongqing Key Laboratory of Pediatrics;Evidence-based Medicine Center,School of Basic Medical Sciences,Lanzhou University;The Second School of Clinical Medical,Lan

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