The professional guidance aims at strengthen of the quality of the people health care, emergency, consultation and treatment and primary health care which contributes to improve the professional quality of the lower level and social fair. The content of the technical transfer comprises education and training in the Central or local hospitals. The results have shown that the qualities of the consultation and treatment and public primary health care have been improving gradually. The technical and professional degree of the lower level has been upgraded.
Practice Guidelines ; Diagnosis ; Therapeutics

Transparency Ecosystem for Research and Journals in Medicine (TERM) working group summarized the essential recommendations that should be considered to review and publish a high-quality guideline. These recommendations from editors and reviewers included 10 components of essential requirements: systematic review of existing relevant guidelines, guideline registration, guideline protocol, stakeholders, conflicts of interest, clinical questions, systematic reviews, recommendation consensus, guideline reporting and external review. TERM working group abbreviates them as PAGE (essential requirements for Publishing clinical prActice GuidelinEs), and recommends guideline authors, editors, and peer reviewers to use them for high-quality guidelines.
Humans ; Practice Guidelines as Topic

RATIONALE: In 2008, the Philippine College of Surgeons in collaboration with the Philippine Society of General Surgeons and the Philippine Academy of Head and Neck Surgeons, Inc. had published Evidence-based Clinical Practice Guidelines (CPG) on the Diagnosis and Management of Thyroid Nodules. This was followed by an update in 2013 with a focus on important diagnostic and therapeutic management issues concerning thyroid malignancy. The objective of this study was to assess knowledge gaps and behavioral patterns among users with respect to these CPGs. METHODS: A validated 30 item survey assessing knowledge of, attitudes towards, and adherence to the recommendations of different Evidence based Clinical Practice Guidelines was administered to general surgery residents, PSGS fellows, and otorhinolaryngology residents and consultants performing thyroidectomies. RESULTS: There were 343 assessable forms. Of the respondents, 276 (80.47%) were general surgeons, 33 (9.62%) were otorhinolaryngologists. There were 66 (19.24%) consultants, and 277 (80.76%) residents. Otorhinolaryngologists were less aware of the local CPGs than their GS counterparts. GS Residents, compared to their consultants, were more aware of the American Thyroid Association guidelines than the local guidelines. Among all respondents, the local guidelines had about equal preference for usage as the American Thyroid Association guidelines. There were no statistically significant differences on the level of knowledge and attitudes among the respondents. CONCLUSION The level of awareness about the PCS Thyroid Guidelines needs to be improved. The dissemination process needs to be reviewed and ensure that all stakeholders will be reached.
thyroids ; clinical practice guidelines

Humans ; Lipids ; Practice Guidelines as Topic

No abstract available.
Endocrinology* ; Metabolism* ; Practice Guidelines as Topic*

This paper introduces the sampling scheme and the inspection scheme paradigm followed in organizing the sampling inspection of medical devices. The sampling scheme paradigm includes the definition and operation guidelines for sampling products, the regulations for individual sampling batches and related model specifications, accessory data, validity period, storage conditions, etc., the requirements for sampling areas, places and quantities, and the requirements for samples to be sent to inspection institutions. The inspection scheme paradigm includes the provisions for inspection basis, inspection items and determination principles.
Equipment Safety ; methods ; Guidelines as Topic

Guidelines as Topic ; Pharmacoepidemiology ; Reference Standards

A pilot cross-sectional study was conducted in order to identify the need and the use of HIV/AIDS counselling services and real situation at the counselling facilities in Hanoi. Data was obtained using a self-administered questionnaire to 8 groups of people with risk behaviors related to HIV/AIDS. These groups also took part in group discussions. Structured in-deep interviews with counsellors and observation at counselling facilities were also conducted. The need for using HIV/AIDS counselling services was low (45.7%). Only 41.6% of person who have need for counselling had used service. People living with HIV/AIDS and their families were the two main groups using these services. The reason for low utilisation was users' poor perception of HIV/AIDS infection risks. Problems from the providersm as inappropriate organisation and investment, also contributed to limit the services. The main findings suggest that increase of the perception on HIV/AIDS risk for individuals and communities is needed. In order to increase the utilisation of community services, it should be reorganised. At the same time, the counselling activities should be socialised and considered as the key task of the whole society and community, not only that of the health sector.
HIV, Acquired Immunodeficiency Syndrome, Health Planning Guidelines

When clinicians or healthcare professionals are to make decisions, they can judge the quality of evidence and reliability of recommendations by 'Level of evidence' and 'Grade of recommendation'. Because of this, the step of grading evidence and recommendations is very important in developing clinical practice guidelines. The objective of this study was to identify the various grading systems and criteria of the clinical practice guidelines. We reviewed 101 guidelines from the National Guideline Clearinghouse Database and chose 66 sets of guidelines to analyze in terms of the grading systems for level of evidence and strength of recommendation. The grading systems for 'Level of evidence' were classified into 4 types by criteria such as study design, study quality, consistency, limitations, strength of evidence, and validity. Type II was the most common evidence grading system applied by 12 organizations (37.5%) and 30 sets of guidelines (45.5%). The grading systems for 'Grade of recommendation' were classified into 4 types by criteria such as level/quality of evidence, strength of recommendations, study quality, consistency, applicability, balance between benefit and harm, and effectiveness/usefulness. Type I was the most common recommendation grading system applied by 9 organizations (33.4%) and 23 sets of guidelines (40.4%). A formal grading system based on consistent and clear approaches is needed because the process of grading work can be subjective when clinical practice guideline users are making decisions. It is necessary for clinical practice guideline developers to have a common criterion so that they can judge the grade of evidence and recommendations objectively in the development of clinical practice guidelines.
Delivery of Health Care ; Methods* ; Practice Guidelines as Topic

Recently the clinical practice guideline and medication algorithm for several disorders have been developed and distributed for an optimal treatment as evidencebased medicine. The Korean Medication Algorithm Project for Major Psychiatric Disorders was initiated by the 'Korean College of Neuropsychopharmacolgy' in fall 2000, and later the 'Korean Academy of Schizophrenia' joined the project. This article reviews the advantages and limitations of the guideline and the algorithm in general, and specifically reviews the design, process and method of development of the 'Korean Medication Algorithm Project for Major Psychiatric Disorders'.
Bipolar Disorder ; Methods* ; Practice Guidelines as Topic ; Schizophrenia