NECESSITY-DRIVEN GUIDELINES FOR EVIDENCE-BASEDCLINICAL PRACTICE PART ONE METHODOLOGY FOR THE DEVELOPMENT OF GOOD CLINICAL PRACTICE GUIDELINES
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2014, Vol 0, Issue 4
Abstract
The article presented is composed of two parts. The first part provides an overview of the types of Good clinical practice guidelines, their nature and includes the basic principles of medical ethics. It systematizes statements developed to assist doctors making decisions in the diagnosis and treatment of patients and the necessary care for specific clinical circumstances. They are based on practice, based on a combination of the best scientific evidence with the clinical expertise and the patient’s rights. The way to create them is indicated, which is based on the accumulated experience of clinical guidelines developed by the Boards of Experts of the National Oncological Conferences MCCE - Multidisciplinary Cancer Conversations and Extracts - in the years of 2010, 2011, 2012, 2013, 2014. In the second part in the development of the methodology are used models of the Project “WHO health indicators”, experience of healthcare systems in Europe and all over the world, the Organization for Economic Cooperation and Development – OECD, health indicators in the European Union (EUROSTAT) and indicators defined by the project EUPHORIC. A system of indicators enabling the analysis and assessment to be made by a unified methodology has been pointed out. Patterns of therapeutic behavior and own treatment outcomes of patients with ovarian cancer (OC) in Bulgaria have been described. An attempt is carried out the indicators used to be consistent both with accepted medical standards and the specific characteristics of the organization of healthcare system in Bulgaria, and the available information. Furthermore, as a degree of adherence to standards the results of compliance should be assessed, which requires consistency with the experts in the diagnosis, treatment and follow-up of patients; results obtained must be easy to interpret and useful in decision-making.
Authors and Affiliations
Zlatitsa Petrova
Keywords
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