Buy essay on MSN Term Paper: Evaluation of Clinical Guideline

National guidelines are series of practical guidelines on basic medical specialties, including all basic information, necessary to a doctor for continuous education and successful treatment of patients. A medical guideline has many different titles and among them we can also find a clinical guideline, clinical practice guideline or clinical protocol. It is a document with the concrete aim of guiding decisions and special criteria concerning diagnosis, management, and treatment in specific areas of healthcare. It is very important guiding instrument and that’s why similar to guideline documents have been in use for many years during the whole history of medicine. Unlike other most guidelines, in national guideline equal attention is spared to a prophylaxis, diagnostics, pharmacotherapy and unmedical methods of treatment. National guideline contains the “Infectious diseases” modern information about organization of service of infectious help, about the methods of diagnostics and treatment of infectious diseases. In edition recommendations are first resulted on basic clinical syndromes, the most meaningful diseases are lighted up in detail. An appendix to guideline on a compact disk includes additional illustrations and pictures, pharmacological reference book, normatively-legal documents, standards of conduct of patients, medical calculators. In preparation of the real edition leading specialists took part as authors-compilers and reviewers. All recommendations revved the stage of the independent criticizing. It is intended for infectious diseases specialists, home doctors, general practitioners, students of senior courses of medical institutes of higher, house physicians, interns, and graduate students.
In the second edition of reference guide in detail basic information is presented about etiology, epidemiology, clinic of infections, having epidemic character of distribution, heavy complicated flow (HIV-infection, flu, diphtheria, viral hepatitis and other), and also about diseases which not enough know the wide circle of doctors (hemorrhagic fevers, illness of Lime, campilobacteriosis and other infections). The special attention is spared to early diagnostics, providing of the first medical aid, treatment in ambulatory terms, health centre system. For preparation of guideline authors used long-term experience of clinical and pedagogical practice, and also results of scientific researches. Guideline is intended for general medical workers, infectious diseases specialists, epidemiologists, and also practicing doctors of many other specialties.
Hardy (1993) stated that reform of the system of domestic health protection supposes to approach to the patient medical aid on the pre-hospital stage. Enormous amount of policlinics, built in days gone by, thousands of geared-up doctors and medical sisters did not promote quality of diagnostics and treatment substantially. A district internist, having the large loading and not prepossessing a modern material and technical base, grew into a controller, sending a patient or to the «narrow» specialists, or on hospitalization. A doctor divided responsibility for a patient with many specialists, qualification went down as a result, professional interest and prestige fallen down. The developed program of re-erecting of health protection takes into account all complex of terms of existence of man, family, collective, and society. It engulfs all factors, influencing on a health population: deposit of health protection and medicine (8,5-10%), way of life (50%), heredity (20%), state of environment (20%). In this connection the necessity of change the role of district internist came to a head for the system of health protection.
Really doctors and Nurses of general practice will appear on the workplaces over the years, as their serious preparation is required. But already teaching of medical workers is now begun on the specially developed programs. In these programs the special attention is spared not only to pathology but also to prophylaxis.
Infectious diseases, as well as in former years, continue to occupy one of the leading places among the diseases of man. Problems of viral hepatitis are actual, sharp intestinal infections. Rushing (1995) demonstrated that the diphtheria, forgotten a long years ago, returned from past years, new infections got wide distribution, caused by different viruses and a threat for humanity is presented by AIDS. In the conditions of socio-economic changes, resulting in stratification of society, to appearance of large number socially unscreened people, many infectious diseases purchased a heavy flow, quite often with a mortal end. Modern achievements of virology, to immunology, it was allowed the applied pharmacology to revise looks infectious diseases specialists to etiology, pathogeny of many illnesses and to attain certain successes in treatment. However, picture that infectious diseases must know mainly infectious diseases specialists, is wrong in its root. General practitioners meet the first with infectious patients. Early recognition of infection, determination of correct therapeutic tactic, organization of disease measures, depend exactly on their qualification, and in the end is a fate of patient and prosperity of circumferential to him people. It is confirmed high daily lethality in infectious permanent establishment, arriving at 30% from all dying patients.
I think that it is good position that authors considered necessary the syndromic going near illnesses to fasten by the detailed description of nosology forms, especially those, which purchased an epidemiology value presently, got new interpretation or are little known the wide circle of clinicians.