Standard Treatments

1. Standard Treatments

2. Standard Treatments: Objectives • Recognize and convey to others the advantages and benefits of standard treatments in promoting drug use • Develop effective, economic, and appropriate treatment protocols for priority health problems • Prepare a plan to effectively implement standard treatments in your program Standard Treatments

3. Session Overview 1. The Problem: Therapeutic Anarchy 2. Advantages of Standard Treatments 3. Impact of Standard Treatments 4. Development of Standard Treatments 5. Implementation of Standard Treatments Standard Treatments

4. Standard Treatments List the preferred drug and nondrug treatments for common health problems experienced by people in a specific health system Standard Treatments

5. Standard Treatments May Include Essentials of Diagnosis • Health Problem = • symptom - “headache” • diagnosis - “malaria” • health service - “antenatal care” Standard Treatments

6. Standard Treatments in the Therapeutic Process Signs and Symptoms Diagnosis (Health Problems) Rx Rx Drug Supply Treatment (Responses) Rx Rx Adherence (Compliance) Clinical Outcome Rx = focus of standard treatments Standard Treatments

7. Advantages of Standard Treatments • Patients • Consistency among prescribers • Most effective treatments prescribed • Improved drug supply • Providers • Provides expert consensus • Provider can concentrate on diagnosis • Quality of care standard • Basis for monitoring and supervision Standard Treatments

8. Advantages of Standard Treatments • Supply Management Staff • Performance standard for drug supply • Allows pre-packs of common items • Drug demand more predictable • Health Policy Makers • Funds used more efficiently • Assess and compare quality of care • Therapeutic integration of special programs Standard Treatments

9. Key Features 1. Simplicity 2. Credibility 3. Same standards for all levels 4. Drug supply based on standards 5. Introduced in pre-service training 6. Dynamic—regular updates 7. Durable pocket manuals Standard Treatments

10. Developing Standard Treatment Guidelines 1. Target priority conditions 2. Base on local disease factors 3. Coordinate with special programs 4. Use fewest drugs necessary 5. Choose cost-effective treatments 6. Use essential drug list drugs only 7. Involve respected clinicians 8. Consider patient perspective Standard Treatments

11. Approaches to Standard Treatment Guidelines • Individual • Selective • Comprehensive Standard Treatments

12. Implementing Standard Treatments 1. Printed reference 2. Official launch 3. Initial training 4. Reinforcement training 5. Monitoring 6. Supervision Standard Treatments

13. Conclusion • Standard treatment guidelines can have considerable impact if they are developed and used in a sensible fashion • They can also be an expensive waste of effort • With standard treatment guidelines, the process of production and use is more important than the product Standard Treatments

14. Activity 1 Case Study: A Second Edition? Standard Treatments in Pagalia Standard Treatments