目的 构建实用性及操作性强的卫生监督统计指标体系。 方法 2011年9月－11月采用德尔菲专家咨询法对指标的实用性、代表性进行评价，利用问卷调查法对指标的操作性进行评价，利用制定的评价原则对指标进行实用性与操作性评价。 结果 评价出实用性及操作性较强的卫生监督统计指标57个，两轮专家咨询的积极系数均为100.00%，操作性指标的积极系数也为100.00%；专家权威程度两轮分别为0.75和0.79；协调系数第一轮专家咨询实用性为0.27、代表性为0.24，第二轮实用性为0.23、代表性为0.22（P＜0.05）。 结论 评价出的实用性卫生监督统计指标体系较为实用、可靠，可用于评价卫生监督工作。
To explore clinical design methods that suit the characteristics of acupuncture science, this article mainly analyzes the design features of pragmatic randomized controlled trials and the advantages and current problems in clinical research on acupuncture. We discuss the differences between pragmatic randomized controlled trials and explanatory randomized controlled trials and the application status of clinical research about acupuncture. We consider that pragmatic randomized controlled trials suit the characteristics of in clinical research on acupuncture with complicated interventions. Exploring the application of pragmatic randomized controlled trials clinical research on acupuncture is beneficial to exploring appropriate clinical research methods that suit the specific characteristics of acupuncture subject, and to objectively and comprehensively assessing clinical efficacy and safety of acupuncture.
ObjectivesTo collect the methodology and original articles on the published cohort multiple randomized controlled trial (cmRCT), and evaluate the development and application of cmRCT.MethodsPubMed, EMbase, CNKI, WanFang Data and CBM databases were electronically searched to collect studies on cmRCT from inception to September 2019. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies, then qualitative analysis was conducted.ResultsA total of 21 studies were enrolled, including 5 original studies and 16 methodology studies. The design of cmRCT was proposed in year 2010 and continuous progress was observed, including aspect of informed consent and statistical analysis, etc. This design has been mainly utilized for chronic diseases (oncology etc.) in Europe; most of these ongoing studies were unpublished. However, to our knowledge, there were none published Chinese original studies or protocols using cmRCT design.ConclusionscmRCT design has been continuously developed and applied since its introduction. This design can be considered in Chinese studies based on Chinese large cohorts to provide more evidence for disease prevention and treatment.