Standard Treatments 1 Standard Treatments Objectives Recognize and

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Standard Treatments 1

Standard Treatments 1

Standard Treatments: Objectives • Recognize and convey to others the advantages and benefits of

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 2

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

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 3

Standard Treatments List the preferred drug and nondrug treatments for common health problems experienced

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

Standard Treatments May Include Essentials of Diagnosis • Health Problem = – symptom “headache”

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

Standard Treatments in the Therapeutic Process Signs and Symptoms Rx Diagnosis (Health Problems) Rx

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

Advantages of Standard Treatments • Patients – Consistency among prescribers – Most effective treatments

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 7

Advantages of Standard Treatments • Supply Management Staff – – – Performance standard for

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 8

Key Features 1. 2. 3. 4. 5. 6. 7. Simplicity Credibility Same standards for

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

Developing Standard Treatment Guidelines 1. Target priority conditions 2. Base on local disease factors

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 10

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

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

Implementing Standard Treatments 1. Printed reference 2. Official launch 3. Initial training 4. Reinforcement

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

Conclusion • Standard treatment guidelines can have considerable impact if they are developed and

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 13

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

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