·论著·方法学研究·以患者为中心的中医药防治慢性病临床诊疗方案遴选与评价方法学框架翟静波天津中医药大学公共卫生与健康科学学院(天津301617)【摘要】慢性病的防控是我国亟待解决的重大需求。中医药在防治慢性病方面具有独特优势。但是,中医药防治慢性病临床诊疗方案遴选与评价过程中的患者参与度可能存在不足。近些年,以患者为中心的临床研究成为热点。本研究提出一种以患者为中心的中医药防治慢性病临床诊疗方案遴选与评价方法学框架。该方法学框架以循证医学实践模式为基础,融入以患者为中心的研究方法,有望为筛选符合患者需求的中医药防治慢性病临床诊疗方案、提高中医药服务效益、完善价格政策、医保目录更新等提供科学依据。【关键词】患者;中医药;慢性病;诊疗方案;评价方法Apatient-centeredmethodologicalframeworkforselectingandevaluatingtraditionalChinesemedicineforpreventingandtreatingchronicdiseasesZHAIJingboSchoolofPublicHealth,TianjinUniversityofTraditionalChineseMedicine,Tianjin301617,P.R.ChinaCorrespondingauthor:ZHAIJingbo,Email:zhaijingbo@foxmail.com【Abstract】ThepreventionandcontrolofchronicdiseasesisamajorneedthaturgentlyneedstobesolvedinChina.TraditionalChinesemedicinehasuniqueadvantagesinpreventingandtreatingchronicdiseases.However,insufficientpatientengagementmaybefoundintheselectionandevaluationoftraditionalChinesemedicineforthepreventionandtreatmentofchronicdiseases.Inrecentyears,patient-centeredclinicalresearchhasbecomeahottopic.Apatient-centeredmethodologicalframeworkisproposedfortheselectionandevaluationoftraditionalChinesemedicineforpreventingandtreatingchronicdiseases.Itincorporatessomepatient-centeredstudiesbasedontheevidence-basedmedicinepracticemodel,andwillprovideascientificbasisforscreeningtraditionalChinesemedicineforpreventingandtreatingchronicdiseases,improvingtheefficiencyoftraditionalChinesemedicineservices,improvingpricepolicies,andupdatingmedicalinsurancecatalogs.【Keywords】Patient;TraditionalChinesemedicine;Chronicdiseases;Treatmentschemes;Evaluationmethod慢性病是指心脑血管疾病、癌症、糖尿病等一大类威胁我国居民健康的疾病[1]。随着经济水平的不断提高,我国慢性病的疾病...