Author/Editor     Drinovec, Jože
Title     Ali na izsledkih temelječa medicina s kliničnimi smernicami zdravnika omejuje?
Translated title     Are evidence-based medicine with clinical practice guidelines restrictive for physicians
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 75, št. 10
Publication year     2006
Volume     str. 653-7
Language     slo
Abstract     Background Evidence-based medicine with clinical practice guidelines represents a concept of clinical decisioning based on the current evidence. Clinical practice guidelines are systematically developed points of view meant to help both a physician and a patient in making decisions about the care of the individual patient. Clinical practice guidelines represent only a basic guidance to be considered by a physician in a specific clinical case and that can be upgraded by considering the patient's comorbidity and other circumstances.. It is estimated that clinicalguidelines are followed by 70% of European physicians. Conclusions Clinical practice guidelines are not just simple recipes for patient treatment and also not a means of economizing in the health services and cannot be used in legal actions. For ethical decision making in medicine it is crucial to use the latest scientific achievements. Correctly understood and used clinical practice guidelines do not represent an obstacle for the patient's independency and creativity.
Summary     Izhodišča Na izsledkih temelječa medicina s kliničnimi smernicami je koncept kliničnega odločanja na osnovi najnovejših raziskovalnih rezultatov. Klinične smernice pa so sistematično razvita stališča kot pomoč zdravniku in bolniku pri odločitvah o ustrezni zdravstveni oskrbi, upoštevaje tudi bolnikove želje. Klinične smernice so le osnovno vodilo, ki ga zdravnik pri svojem delu v specifični klinični situaciji upošteva, nadgradi ob poznavanju bolnikove soobolevosti in drugih okoliščin. V evropskih državah se zdravniki ravnajo po kliničnih smernicah približno v 70%. Zaključki Klinične smernice niso preprosti recepti za obravnavo bolnika, tudi ne sredstvo za varčevanje v zdravstvu in niso neposredno uporabne za postopke na sodišču. Za etično odločanje v medicini je odločilno uporabljanje najnovejših znanstvenih dosežkov. Pravilno razumljene in uporabljene klinične smernice ne krnijo bolnikove samostojnosti in ustvarjalnosti.
Descriptors     EVIDENCE-BASED MEDICINE
PRACTICE GUIDELINES
PROFESSIONAL AUTONOMY
ETHICS, MEDICAL