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G. K. Nanaeva, Docent Department of Family Medicine Kyrgyz State Medical Academy (KSMA)

G. K. Nanaeva, Docent Department of Family Medicine Kyrgyz State Medical Academy (KSMA). Development and Implementation of Clinical Protocols in the Kyrgyz Republic. Bishkek – Reno Partnership. MINISTRY OF HEALTH REGULATIONS FOR THE DEVELOMENT OF CLINICAL PROTOCOLS IN THE KYRGYZ REPUBLIC.

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G. K. Nanaeva, Docent Department of Family Medicine Kyrgyz State Medical Academy (KSMA)

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  1. G. K. Nanaeva, DocentDepartment of Family MedicineKyrgyz State Medical Academy (KSMA) Development and Implementation of Clinical Protocols in the Kyrgyz Republic Bishkek – Reno Partnership

  2. MINISTRY OF HEALTH REGULATIONSFOR THE DEVELOMENT OF CLINICAL PROTOCOLS IN THE KYRGYZ REPUBLIC No. 376 of December 17, 1999 No. 161 of May 23, 2000 No. 189 of June 12, 2000

  3. June 2000 - Meeting of the National Committee on Drugs

  4. Approved: • Format • Terminology

  5. 6 Working Groups formed to work on the development of clinical protocols: OB/GYN Surgery Internal diseases Infectious diseases Pediatrics Specialties; oncology, psychiatry, STDs, tuberculosis

  6. TOTAL CLINICAL PROTOCOLS DEVELOPED: Pediatrics – 32 OB/GYN – 35 Surgery - 60 Internal diseases – 8 Infectious diseases – 9 Specialties – 0

  7. November 2000, Scotland – Study Tour - 8 specialties

  8. Bishkek - Osh Conference on the development of clinical guidelines and protocols - 400 experts learned about the clinical protocols December 2000 working with a database January 2001 Mandatory Medical Insurance Fund and WHO data on mortality and mobility

  9. DEVELOPED AND APPROVED BY THE KYRGYZ MINISTRY OF HEALTH REGULATION ON THE COORDINATION COUNCIL Defines the development and the implementation of clinical guidelines and protocols in the healthcare secto of the Kyrgyz Republic

  10. Council Members Chairman of the Council 2 Deputy Chairmen of the Council Secretary of the Council Council Members – representatives from the KSMA, Department of Diagnostics and Treatment, and MT;Information Centers for LS, Mandatory Medical Insurance Fund

  11. Council’s Functions: Defines priorities, needs, and scope of the guidelines Defines general policy and the program of actions Selects and defines the number of topics to be included in clinical guidelines Establishes the goals that may be reached in healthcare Involves working groups in the design, development, and implementation

  12. Develops and introduces stimuli for the development and implementation Evaluates the development and implementation processAssesses quantitative changes in the clinical practiceReviews clinical guidelinesMaintains relationships with international and local organizations and sponsors, coordinates their work in the national healthcare sector

  13. Ensures: 1. Transparency of the development and implementation processes 2. Multidisciplinary approach to guidelines development 3. Flexibility and adaptability to local conditions 4. Goal-oriented process design 5. Use of economic assessments during the development process 6. Application of the best available evidence to the development of clinical guidelines 7. Assessment of the implementation and impact of clinical guidelines 8. Regular review of clinical guidelines 9. Step-by-step introduction of clinical guidelines into the healthcare system

  14. Indicators for assessing the Family Physicians Practice

  15. Indicators for assessing the Family Physicians Practice

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