Clinical recommendations. Standards of management of patients

Each doctor treats people, relying not only on their professionalism, but also on clinical recommendations that state what the doctor should do in any given situation. Due to such recommendations, the specialist can correctly choose the diagnostic procedure, screening tests, therapeutic methods and accurately indicate how much the patient can be in the hospital or at home treatment.

Clinical recommendations: what is it?

This is a regularly compiled collection of official regulations that help practitioners and patients make serious decisions about adequate treatment in special settings. To date, there are a huge number of prescriptions for a doctor working in a particular field. Each year, they become more and more, as new methods of treatment or diagnostics appear.

If the doctor finds himself in a very difficult situation and does not know what decision to take in a particular case, then thanks to the collection of provisions he can find a way out and offer the patient acceptable therapies.

What are the objectives of the official regulations?

To date, clinical recommendations allow the doctor to find an adequate way out of the current situation, since this is:

• Providing the right answer to a particular question using the methods of evidence-based medicine.
• Help the expert in making the right decision.
• The designation of standards in the treatment, thus it is possible to provide qualitative equitable access to the services of medicine.
• Creating an optimal ratio of price and quality when using limited resources.
• Stimulation of medical workers and patients to training.

The main goal of the clinical prescriptions is to provide the doctor with information that allows choosing the best method of therapy and research. Clinical recommendations for diagnosis and treatment allow us to find a strategy for managing the patient for recovery and make it possible to exclude the possible risk from improperly prescribed therapy.

How are recommendations for doctors created?

As the amount of information for practitioners increases, the number of medical and diagnostic interventions grows, the doctor must spend a lot of time and effort searching, analyzing and applying this information. During the creation of recommendations, the most complex stages have already been completed by the authors, everything is arranged in chapters, and the doctor will be able to find the right answer to a rather complicated question in the shortest possible time.

Clinical recommendations are a kind of doctor's tool working in any direction, which allows to reduce the gap between the routine and the level of modern medicine. The doctor should spend time treating patients, not searching for information. Thanks to such collections, where everything is clearly described, he can quickly find the section that is needed, and a clear answer to the question.

Pros and cons of clinical recommendations

The application of clinical recommendations allows to achieve evidence-based medicine in clinical practice and makes it possible to significantly improve the prognosis of the course of pathology, reduces the number of severe and non-incurable situations.

The main drawback of the recommendations is that they are not widely used in Russian public health. There are many difficulties in transferring the results of research into practice, it is not always possible to apply this or that advice in a particular case.

But the main plus is that thanks to all these definitions it is possible to significantly reduce the mortality of patients and improve the prognosis of the disease. By implementing clinical guidelines for treatment, it is possible to provide the patient with the same amount of medical care, regardless of who and where he is provided services. But the doctors these recommendations will increase the effectiveness of therapy in the most complex and sometimes insoluble cases.

Clinical recommendations in pediatrics

For each separate sphere of medicine: cardiology, surgery and others - written and developed recommendations. They did not ignore pediatrics. Clinical recommendations for the treatment of children contain a huge number of solutions in the treatment of common childhood diseases, all of which are prepared by the Union of Pediatricians. They include algorithms for the doctor to diagnose, treat, prevent and rehabilitate small patients.

Thanks to this, the doctor can quickly make an informed decision in the most severe cases. Such a collection allows you to find the right solution and apply an adequate treatment option, which is very important in the most difficult situations. Especially in cases where the decision of the parents to conduct a particular procedure is required. After all, very often it is parents who do not understand the whole seriousness of the situation and can, by wrongly evaluating it, unknowingly harm their baby.

Features of recommendations in diagnostics

Before you make an accurate diagnosis of the patient, you need to conduct a series of studies, and only because of their help you can determine the cause of the pathology. To facilitate the choice of the study in this or that case, clinical guidelines for diagnosis were developed. It is thanks to this assistant you can accurately find out which of the diagnostic methods will be appropriate for the symptoms described by the patient.

It is also very important that such collections help if the patient doubts that he needs to undergo the type of diagnosis that was prescribed. New methods of diagnosis appear regularly, and thanks to a collection of recommendations, a doctor can improve his qualifications and learn about new products.

Correct management of the patient

Very often the patient, turning to the doctor, can not properly explain the symptoms of the disease, so the doctor should immediately grasp the essence of the complaint and assign the correct methods of diagnosis, and after them to diagnose and begin treatment. The history of the patient begins when the patient crosses the threshold of the doctor's office.

It is very important to correctly conduct a patient's medical history, as the card is started for many years, and very important points can further help doctors in solving the most complicated problems. Clinical recommendations for managing patients will help the doctor correctly fill the card, prescribe a course of treatment, choose the place of therapy: hospital or home conditions. And also to write out a sick leave sheet, without violating any standards.

Standards of medical care

Standards are a formalized description of the minimum amount of medical care that is provided to a patient with a specific form of the disease in the form of a table. The main task, which was followed by those who created clinical recommendations, standards of patient management, was:

• Justification of the list of medications that are available on prescription.
• Determination of the amount of qualified care by a medical professional to accurately determine the cost of providing it.

To determine the standards, qualified specialists were involved. They helped to accurately determine the structure of the standard and identify all the necessary categories, which determine the type of disease and type of therapy.

What does the structure of the standard look like?

Each standard first of all begins with the model of the patient, which must be conducted according to the submitted plan. The model of the standard includes characteristics of the patient, determining the tactics of diagnostic studies and methods of therapy:

• The name of the nosological form or syndrome.
• The ICD-10 code.
• The phase of pathology and stage in those cases when it is necessary.
• Possible complications, if any, may occur, or their absence.

The standard can consist of either one model or several. For each of them, the patient is provided with conditions for rendering services in a hospital or outpatient setting, and recommendations for diagnosis, prevention, treatment and rehabilitation are also prescribed.

The standard can also be indicated as simple services of a medical institution, such as measuring body weight, protein content in the urine, and very difficult - the primary reception of a specialist. Each inspection is deciphered in its own way in accordance with the prescribed definitions.

If the doctor is a beginner or has forgotten how everything is formalized, he can at any time make use of clinical recommendations, which are often supplemented with new standards, and fill everything in accordance with the norms. For any area of medicine there are standards and recommendations that are regularly updated with new, more sophisticated diagnostic and treatment methods. These recommendations can be used by the patient if he has doubts about the correctness of the therapy of the doctor or for the correct choice of further rehabilitation.