Financial Disclosure. I have the following financial interests or relationships to disclose: OMIC-Ophthalmic Mutual Insurance Company - C,L, Santen, Inc. - C,. PROMOTING AND IMPLEMENTING CLINICAL PRACTICE GUIDELINES IN DEVELOPING COUNTRIES: THE CHINA EXPERIENCE.
ACADEMIA OPHTHALMOLOGICA INTERNATIONALIS
OCTOBER 24, 2009
SENIOR ADVISOR FOR INTERNATIONAL EDUCATION
AMERICAN ACADEMY OF OPHTHALMOLOGY
CLINICAL GUIDELINES COMMITTEE
INTERNATIONAL COUNCIL OF OPHTHALMOLOGY
WHAT HAVE WE LEARNED FROM CHINA AND CAN IT BE APPLIED TO OTHER COUNTRIES?
COLLABORATIVE EFFORT BETWEEN:
MINISTRY OF HEALTH RECOGNITION (April, 2009)!
美国眼科临床指南的适用性研究Assessment of Ophthalmological Care Before and After the Introduction of Clinical Practice Guidelines in 3rd level Hospitals in Beijing
Beijing Tongren Eye Center
Why do we have to implement CLINICAL PRACTICE GUIDELINES in China?
Lack of consistent quality and evidence based diagnosis and treatment in China.
Most of the doctors in 3rd level hospital know about clinical guideline content.
But few doctors completely follow recommendations in their clinical work.
Why have Clinical Guidelines not been implemented in China?
Current practice pattern of diagnosis & management in China difficult to meet requirements of clinical guideline
Documentation of the optic disc morphology, best performed by color stereophotography or computer based image analysis [A:Ⅱ]
Visual fieldevaluation [A:Ⅲ]
topical medicationsconstitute effective initial therapy [A:Ⅲ]
How do we implement clinical guidelines in China?
Require Administrative intervention?
Its not easy!
High volume of patients would require more to be done for each patient!
Doctors’ work load would be increased
What can we do now?
Set up a simple, convenient and efficient diagnosis & management system that can integrate with clinical guidelines
Pigment trabecular 0: No-see. ( Label in quadrant area.)
Dynamic: Delineate PAS extent and degree by line.
Modify current medical record format according to PPP