Challenge and strategy of developing country participating in Cochrane collaboration - experience of Chinese Cochrane center

Article type
Authors
Li J, Li Y, Zhang M, Wang J, Liu M, He L, Deng K, Wei M, Yuan Y
Abstract
Background: Cochrane Collaboration (CC) is quite new in China. How to raise the awareness and facilitate Chinese involvement and make the Cochrane activities relevant to health policy-making and clinical practice are the core task of Chinese Cochrane Center (ChiCC) after its registration in CC in March, 1999.

Methods: In order to efficiently carry out Cochrane activities and make our work more focus, a survey was conducted to clarify the potential difficulties and problems that might hinder Chinese involvement in CC. The results showed that limited qualified clinical trials, lack of knowledge and skill to conduct Cochrane systematic review (SR), lack of time and leadership support, lack of financial support, diversity of interests of health professionals are the main factors that influence Chinese involvement. Corresponding strategies focused on 3 aspects of training are adopted: 1. Involve health policy-makers and health officials from national, provincial and municipal levels, and chief-editors of leading Chinese Medical Journals (CMJs) in Cochrane activities aimed at raising awareness of the importance and relationship of CC with them. 2. For those who are interested in conducting SR, we provide short training course, technical and information support. 3. For those who are interested in translating evidence into action in their clinical practice, we provide short training course focused on how to search evidence, how to critical appraisal evidence and how to apply best available evidence to solve clinical problems related to individual patients. 4. Besides, course of evidence-based medicine and SR for medical students is planning to open.

Results: 1. Strategies are effective in raise the awareness of policy-makers and editors of CMJs. Consensus is reached and corresponding strategies for governmental support and improving the quality of published Chinese literature are adopted. 2. Training programs for health professionals are more attractive, practical and adapted to their interests and needs.

Conclusion: Regarding to different situations of different countries and based on our experience, we recommend that training program and relevant activities of CC for health professionals should be need-based and interest-based.