New framework for the development of clinical guidelines in Russia

Blinov, D. V.; Акарачкова, Е. С.; Орлова, А. С.; Kryukov, E. V.; Korabelnikov, Daniil

doi:10.17749/2070-4909.2019.12.2.125-144

Cited by 17 publications

(3 citation statements)

References 7 publications

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“…Переход медицинских организаций к оказанию медицинской помощи на основе клинических рекомендаций осуществляется поэтапно и должен завершиться не позднее 1 января 2024 г. 3 В свою очередь, накопленная с 2014 г. 4 практика использования клинических рекомендаций (протоколов лечения) создает возможность объективного осмысления юридического опыта их применения.…”

Section: Lex Russicaunclassified

“…№ 294. 3 Постановление Правительства РФ от 17.11.2021 № 1968 «Об утверждении Правил поэтапного перехода медицинских организаций к оказанию медицинской помощи на основе клинических рекомендаций, разработанных и утвержденных в соответствии с частями 3, 4, 6-9 и 11 статьи 37 Федерального закона "Об основах охраны здоровья граждан в Российской Федерации"» // СЗ РФ. 2021.…”

Section: Lex Russicaunclassified

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Clinical Guidelines in the System of Medical Care in Modern Russia: Theoretical Statement and Practical Aspects

Malyugin

Vinokurova

2023

Lex Russica

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The study is devoted to the legal status of clinical guidelines as a technical and legal act in modern Russia. The purpose of the study is to substantiate and update in modern legal science the consideration of clinical guidelines as one of specific regulators of medical care in the Russian legal system. The study uses the method of comparative jurisprudence to study the legal status of clinical guidelines in foreign countries. The article examines the main historical periods of the formation and development of clinical guidelines in the system of technical and legal regulation of medical care in Russia. The definition of the concept of «clinical guidelines» is formulated, by which it is proposed to understand official enactments — documents with a standard structure and issued in a special order by specially authorized entities containing a system of scientifically grounded technical and legal norms aimed at regulating the activities of medical workers in the process of providing medical care to patients, secured by legal responsibility. Mainly through the application of a special legal method of jurisprudence, the binding nature of clinical guidelines in the Russian legal system is justified. By means of the formal legal method, the place and significance of clinical recommendations among other normative acts regulating the provision of medical care in Russia is determined. The article highlights two research plans for the functions of clinical guidelines: specific legal and socio-legal. The specific legal functions include: regulatory, protective and evaluation functions; the socio-legal functions include security, control, supervisory and methodological functions. Based on the conducted research, the authors determine the purpose of clinical guidelines, which consists in rationing medical activities in the process of providing medical care in modern Russia.

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Section: Lex Russicaunclassified

Clinical Guidelines in the System of Medical Care in Modern Russia: Theoretical Statement and Practical Aspects

Malyugin

Vinokurova

2023

Lex Russica

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“…В целом комплексные исследования в рамках НИИ проблем новой коронавирусной инфекции позволили получить необходимую информацию для организации оказания медицинской помощи, оперативно распространить ее в Вооруженных силах в виде методических рекомендаций, подготовленных в соответствии с современными взглядами [53], и научно-медицинском пространстве России в виде статей. Наиболее приоритетными являются результаты, связанные с разработкой и использованием отечественной вакцины «Гам-КОВИД-Вак».…”

Section: заключениеunclassified

Results of the work of the Military medical academy research institute of novel coronavirus infection problems through 2020–2021

Ivchenko

Kotiv

Ovchinnikov

et al. 2021

Bulletin of the Russian Military Medical Academy

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Novel coronavirus infection COVID-19 pandemic has become a serious test for the worlds population across the board from individual to population. Introduced restrictive measures of self-isolation, observation, and quarantine, mostly known before the pandemic only to medical specialists, have become a forced lifestyle for most of the people across the globe, their specific adaptation to the new, unusual conditions of the existence and communication. Healthcare has faced off with an unknown infection, while traditional methods of the treatment showed their ineffectiveness at the initial stage. The results of the Research Institute of Problems of New Coronavirus Infection of the Military Medical Academy named after S.M. Kirov from April 2020 to present are listed. Work basis is formed by the scientific and clinical results of the Academys work during the COVID-19 pandemic. The experience of organizing sanitary, antiepidemic and preventive measures at the permanent disposition and in the field in the regions of Russia and abroad is presented. Developed, improved, and put into the practice methods of diagnosis and treatment of the patients, including the electron microscopic diagnostics of long-term carrier, ultrasound examination of the lungs, glucocorticosteroid therapy, heliumoxygen therapy, risk prediction algorithms and computer-aided evaluation of the degree of lung tissue damage, evaluation of the drug effectiveness are listed. In a separate section study related to the Russian vaccine Gam-COVID-Vac, the assessment of immunity after the disease, complex disorders, and in postvaccination cases, the use of the immune pathogen-reduced plasma, the mutual influence of various vaccines are presented. Methods of rehabilitation of convalescents, dispensary-dynamic observation, and military medical examination are studied and developed.

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Recommendatory base for the delivery of specialized medical care to patients with spine and spinal cord injury in Russia: subject field review

et al. 2021

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Objective. To evaluate the composition and content of the recommendatory base for delivery of specialized medical care to patients with spine and spinal cord injury on the territory of the Russian Federation.Material and Methods. The published recommendations specifying the content of the diagnostic, therapeutic, rehabilitation and preventive components of the provision of medical care to patients with spine and spinal cord injury were reviewed. The search for information was carried out in the eLibrary.ru bibliographic resource, documents of the Ministry of Health of the Russian Federation, publications of specialized medical professional non-profit organizations, and other manuals. The depth of information selection was 18 years (since 2003). The review was prepared following the PRISMA-ScR and PRISMA-S guidelines.Results. The current Russian recommendatory base in the field under consideration includes articles in peer-reviewed scientific journals, practical guidelines, regulatory documents and eight clinical guidelines prepared by the Association of Traumatologists and Orthopedists of Russia and by the Association of Neurosurgeons of Russia approved or submitted for approval by the Ministry of Health. A significant degree of cross-use of information has been established, in general covering a wide range of diagnostic, therapeutic, rehabilitation and preventive issues.Conclusion. Most of the Russian recommendations on the provision of medical care to patients with spine and spinal cord injury do not have high strength, are not based on high-certainty evidence, are general in nature, especially in terms of diagnostic and therapeutic tactics, and are created without consideration of the medical care delivery setting. The methodology for their development is reported extremely poorly.

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New framework for the development of clinical guidelines in Russia

Cited by 17 publications

References 7 publications

Clinical Guidelines in the System of Medical Care in Modern Russia: Theoretical Statement and Practical Aspects

Clinical Guidelines in the System of Medical Care in Modern Russia: Theoretical Statement and Practical Aspects

Results of the work of the Military medical academy research institute of novel coronavirus infection problems through 2020–2021

Recommendatory base for the delivery of specialized medical care to patients with spine and spinal cord injury in Russia: subject field review

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