Volume 24 Issue 4
Apr.  2026
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ZHANG Eryao, LAN Yanfen, SUN Junsheng, REN Jingjing. Development status and application challenges of patient versions of guidelines from a general practice perspective[J]. Chinese Journal of General Practice, 2026, 24(4): 539-543. doi: 10.16766/j.cnki.issn.1674-4152.004437
Citation: ZHANG Eryao, LAN Yanfen, SUN Junsheng, REN Jingjing. Development status and application challenges of patient versions of guidelines from a general practice perspective[J]. Chinese Journal of General Practice, 2026, 24(4): 539-543. doi: 10.16766/j.cnki.issn.1674-4152.004437

Development status and application challenges of patient versions of guidelines from a general practice perspective

doi: 10.16766/j.cnki.issn.1674-4152.004437
Funds:

 72274169

 202493

 粤教高函〔2023〕4号

 广中医校办〔2024〕278号

 2024-2027

  • Received Date: 2026-01-27
  •   Objective  Patient version guidelines (PVGs) are evidence-based knowledge translation tools under the principles of evidence-based medicine and "patient-centered care", aiming to convert professional guidelines into decision-making information that patients can understand. This article aims to review the current status of PVGs from a general practice perspective and analyze the core challenges in their application.  Methods  A literature review was conducted to systematically search Chinese and English databases such as China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform, PubMed, and Web of Science, with a search period from January 2020 to January 2026. Keywords included "patient guide", "patient version guidelines", "patient and public guide", "doctor-patient collaborative decision-making", and their corresponding Chinese terms. Relevant studies, papers, and reports were included, and evidence on the concept, development, formulation methods, reporting standards, and implementation effects of PVGs was summarized and comprehensively analyzed.  Results  PVGs are primarily formulated through two models: "direct translation" and "reformulation". Domestic practices differ in methodological standardization and reporting transparency. Their application value has gained preliminary recognition in general practice settings, particularly in standardized patient education. However, the application challenges are significant and multidimensional, including inconsistent methodological quality, lack of consensus on localization, insufficient patient engagement, limited communication channels and low patient accessibility, low awareness and utilization rates among general practitioners, conflicts between universal guideline recommendations and the principles of personalized medicine.  Conclusion  PVGs are important potential tools for achieving high-quality, patient-centered services in general practice. Future efforts should focus on building localized methodological systems, innovating communication and training models, deepening patient engagement mechanisms, and conducting efficacy studies based on general practice scenarios to fully leverage their role in improving primary care quality and patient health outcomes.

     

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