Ollenschläger Günter, Lelgemann Monika, Kopp Ina
Arztliches Zentrum für Qualität in der Medizin (AZQ) - gemeinsames Institut von Bundesärztekammer und Kassenärztlicher Bundesvereinigung, Berlin.
Med Klin (Munich). 2007 Jul 15;102(7):565-9. doi: 10.1007/s00063-007-1087-3.
In Germany, physicians enrolled in disease management programs are legally obliged to follow evidence-based clinical practice guidelines. That is why a Program for National Disease Management Guidelines (German DM-CPG Program) was established in 2002 aiming at implementation of best-practice evidence-based recommendations for nationwide as well as regional disease management programs. Against this background the article reviews programs, methods and tools for implementing DM-CPGs via clinical pathways as well as regional guidelines for outpatient care. Special reference is given to the institutionalized program of adapting DM-CPGs for regional use by primary-care physicians in the State of Hesse.
在德国，参加疾病管理项目的医生在法律上有义务遵循循证临床实践指南。正因如此，2002年设立了国家疾病管理指南项目（德国DM-CPG项目），旨在为全国性和地区性疾病管理项目实施基于最佳实践证据的建议。在此背景下，本文回顾了通过临床路径实施疾病管理临床实践指南的项目、方法和工具，以及门诊护理的地区指南。特别提及了黑森州基层医疗医生将疾病管理临床实践指南调整为地区适用的制度化项目。
