Standard Treatments 1 Standard Treatments Objectives Recognize and

Standard Treatments 1

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 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 by people in a specific health system Standard Treatments 4

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 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 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 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 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 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

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 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