How many guidelines of social medicine/preventive medicine/community medicine in China

Article type
Authors
Li HM1, Bai ZG2, Gai QY3, Zhang PZ4
1Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University; School of Public Health, Lanzhou University
2Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University
3Lanzhou University, Second Hospital
4Women and Children Hospital of Lanzhou
Abstract
Background: WHO advocate that guidelines of Prevention medicine, Social medicine or Community medicine are a prerequisite condition in keeping people health in developing country. Scientific and practical guidelines of social medicine/prevention medicine/community medicine will be supposed to play a vital role in keeping most residents health in China, but little is known about its development in China.

Objectives: Systematically review the quantity and quality of guidelines of social medicine, prevention medicine or community medicine in China.

Methods: A systematic search of relevant literature databases (CBM, WANFANG, VIP, CNKI) was performed for the period January 1978 to December 2011. Searching strategy involves: (social medicine OR prevention medicine OR community medicine OR behavior medicine OR rehabilitation medicine) AND (guidelines OR manual). Two groups of review authors independently applied inclusion criteria, assessed trials quality, and extracted data. The AGREE tool was used to appraise the quality of guideline s found.

Results: From 1978 to 2012, totally 2191 items were found initially using searching strategy mentioned above. Seventy-eight items met inclusion criteria and were analyzed. Only 1 (27%, 1/36) rehabilitation guideline from VIP; 7 (1.6%, 7/423) guidelines from CNKI, which involve fall prevention, community hypertension, hand health, or community pneumonia; 40 (4.9%, 40/823) guidelines from CBM, among them 26 guidelines were translation version or interpretation of US diseases prevention guidelines; 14 guidelines on hepatitis prevention and treatment; 30 (3.5%, 30/850) guidelines from WANFANG, all 30 guidelines were overlapped with those guidelines from other databases searched. Only five (64%, 5/78) diseases prevention guidelines made by Chinese authors and were analyzed using AGREE items, all five guidelines were from expert’s opinion, without research evidence supporting.

Conclusions: The guideline of social medicine/prevention medicine/community medicine based on research evidence is infants in China in certain extents. Future guidelines should apprised using AGREE tool to improve its quality.