Characteristics of Participants for Developing Emergency Health Systems Guidance Based on AGREE-HS

LI An; ZHANG Gezhi; CHEN Xue; LIU Fangqi; ZHENG Danping; BAI Weixuan; YANG Wei; WEI Dongfeng; SHI Nannan; LIU Mengyu

doi:10.13422/j.cnki.syfjx.20250294

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Characteristics of Participants for Developing Emergency Health Systems Guidance Based on AGREE-HS

更新时间：2024-10-15

- Characteristics of Participants for Developing Emergency Health Systems Guidance Based on AGREE-HS
- Chinese Journal of Experimental Traditional Medical Formulae Vol. 30, Issue 22, Pages: 157-163(2024)
- 作者机构：
  
  1.中国中医科学院中医临床基础医学研究所，北京 100700
  2.中国中医科学院中医基础理论研究所，北京 100700
  3.甘肃中医药大学中西医结合学院，兰州730000
- 作者简介：
- 基金信息：
- DOI：10.13422/j.cnki.syfjx.20250294
  CLC： R2-031;R932;R256.35;R442.2;R288
- Received：02 August 2024，
  
  Published Online：29 September 2024，
  
  Published：20 November 2024
- 稿件说明：
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李安,张格知,陈雪等.基于AGREE-HS评价的应急卫生系统指南参与人员特点[J].中国实验方剂学杂志,2024,30(22):157-163.

LI An,ZHANG Gezhi,CHEN Xue,et al.Characteristics of Participants for Developing Emergency Health Systems Guidance Based on AGREE-HS[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(22):157-163.
李安,张格知,陈雪等.基于AGREE-HS评价的应急卫生系统指南参与人员特点[J].中国实验方剂学杂志,2024,30(22):157-163. DOI： 10.13422/j.cnki.syfjx.20250294.

LI An,ZHANG Gezhi,CHEN Xue,et al.Characteristics of Participants for Developing Emergency Health Systems Guidance Based on AGREE-HS[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(22):157-163. DOI： 10.13422/j.cnki.syfjx.20250294.

摘要

应急卫生系统指南（HSG）的制定方法至关重要，直接关系到在紧急情况下的响应效率和效果。一个科学、系统、易于执行的指南可以帮助各级卫生机构快速协调资源、规范应急流程、保障公众健康。该研究使用卫生系统指南研究与评估系统（AGREE-HS）评价工具，分析以新型冠状病毒感染（COVID-19）指南为代表的应急HSG在制定参与人员方面的特点。结果显示，纳入的34篇指南中，参与人员条目得分最低，特别是在该条目下的5个评价标准中，标准1“开发小组多样性”得分最高［（3.13±1.55）分］，标准5“预防资助机构影响”得分最低［（1.21±0.47）分］。在标准5已采取预防措施以避免或尽量减少资助机构的影响得分差异方面，WHO制订的6篇标准HSG与4篇应急HSG之间差异具有统计学意义（

0.05）。在标准1~5开发小组成员、背景、利益冲突及预防措施方面，6篇WHO标准HSG与34篇应急HSG差异具有统计学意义（

0.05），由WHO制定的指南与不同国家制定的指南差异均具有统计学意义（

0.05）。在制定应急卫生系统指南时，参与人员受指南制定时限性、参与形式、证据有限和预期结果不确定性等多因素影响。

应急HSG制定的参与人员具有弱化小组成员构成的广泛性、机构的多源性、利益冲突性等多方面要求，强调在紧急情境下提供迅速、实用指导的政府官员、专业人员等关键角色的参与。

Abstract

The formulation method of emergency health systems guidance （HSG） is crucial， directly impacting the efficiency and effectiveness of responses in emergencies. A scientifically sound， systematic， and easily executable guidance document can assist health institutions at all levels in quickly coordinating resources， standardizing emergency response processes， and safeguarding public health. This study employed the Appraisal of Guidelines for Research and Evaluation for Health Systems （AGREE-HS） to analyze the characteristics of participants in developing emergency HSGs represented by the COVID-19 emergency HSG. The results showed that in the 34 HSGs included in this study， the item participants received the lowest score. Within this item， criterion 1 （diversity of development group） scored the highest （3.13±1.55）， while criterion 5 （prevention of funding agency influence） scored the lowest （1.21±0.47）. There were differences （

0.05） in measures taken to mitigate funding agency influence between the six standard HSGs developed by the World Health Organization （WHO） and the four emergency HSGs. Additionally， differences （

0.05） existed in the development group members， background， conflicts of interest， and preventive measures between the six WHO standard HSGs and the 34 emergency HSGs， as well as between the HSGs developed by the WHO and those developed by countries. The participants in developing emergency HSGs were influenced by various factors， including limited time for guideline development， modes of participation， scarce evidence， and uncertainties in expected outcomes. There is a need to downplay extensive requirements concerning the composition of group members， institutional diversity， and conflicts of interest， emphasizing the roles of key participants like government officials and professionals who can provide

rapid， practical guidance in emergency situations.

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references

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