رويكرد مناسب جهت اقتباس راهنماهاي طبابت باليني در نظام سلامت ملي مبتني بر نتايج به دست آمده از يك تجربه در نظام سلامت جمهوري اسلامي ايران

The Appropriate Approach for Adoption of Clinical Practice Guidelines in the National Health System, According to the Experienced Project in Iran National Health System

Introduction: Clinical practice guidelines are formatted texts that are prepared in a systematic approach to help clinical decision making in special conditions. The aim of these guidelines is to prepare clear recommendations with definite goals to influence the audience, mainly the physician. Methods: In this study, the appropriate approach for adoption of clinical practice guidelines in the national health system is defined based on the experienced project in the Iranian national health system in 2005-2007 which yielded in 20 national guidelines for primary care physicians. The process of adaptation consists of three stages. The first one is the preparing stage which consists of the steps necessary for starting the process of adaptation and is composed of 5 sub-stages. The second stage is writing and editing the questions, which consists of selecting and preparing a number of questions and then searching the resources and finding the guidelines. This stage consists of 12 sub-stages. The 3rd stage is the finalizing stage which consists of 3 sub-stages and includes getting feedbacks, consultation, updating and finalizing the guideline draft. Conclusion: Using clinical practice guidelines, especially when they are prepared by adoption method, can increase the quality of care in health care systems. Of course it needs extensive planning and coordination in different parts of the system; fortunately promising approaches have been taken in our country in recent years. Key words: Practice Guidelines as Topic, National Health Programs, Health Care Category