Esmaeil Akbari Mohammad, Mohammadi Gohar, Vosoogh-Moghaddam Abbas, Rabanikhah Fahimeh, Javadi Hamideh, Rostami-Gooran Narges, Safaei Asal, Akbari Atieh
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Health Sector Policy Coordination Group, in Charge of Minister for Policy Making Affairs Bureau, Ministry of Health and Medical Education, Tehran, Iran ; NCD Research Center, Endocrine and Metabolism Research Institute, Tehran University of Medical Sciences and Health Services, Tehran, Iran.
Iran J Cancer Prev. 2015 Mar-Apr;8(2):77-83.
Guidelines have produced and used in complex environment of health care system with its ethical, economical, legal and other aspects; that should be taken into account in any country. Modifying the format and content of guidelines might facilitate their usage and lead to improved quality of care and cost containment. We have produced this tool for explained above purpose.
A coordinating national team has settled at the office of minster of health and medical education, supported by a guideline review committee. An innovative and appropriate approach for adapting national health guidelines has consisted of eight steps, have defined For preparing the draft of each guideline a technical team which, including main author, her/his co-workers have nominated. The authors of each topic have systematically searched databases of the proposed Twenty-two International Sites, and then have selected at least five sources of them that were more relevant. The final recommendations have proposed by agreement of technical team and Guideline Review Committee.
In less than 5 months, more than 500 authors in whole country have selected to prepare guidelines and, approximately 150 guidelines have provided in three volumes of the published and distributed book. Each guideline had a national ID number, constant forever; all topics should be reviewed every 3-5 years.
National health guideline(s) would be essential means for policy making in health system and increased the cost containment and quality of care. Ministry of Health and Medical Education should provide and distribute the guidelines based on its accountability to legal responsibility.
指南在医疗保健系统复杂的环境中制定并使用，涉及伦理、经济、法律等诸多方面；任何国家都应予以考虑。修改指南的格式和内容可能有助于其使用，并提高医疗质量和控制成本。我们为此目的制作了这个工具。
一个协调全国性的团队设在卫生和医学教育部部长办公室，由一个指南审查委员会提供支持。一种创新且合适的调整国家卫生指南的方法包括八个步骤，为编写每个指南的草案确定了一个技术团队，该团队包括主要作者及其提名的同事。每个主题的作者系统地搜索了二十二个国际网站的数据库，然后从中挑选了至少五个更相关的来源。最终建议由技术团队和指南审查委员会共同商定提出。
在不到5个月的时间里，全国有500多名作者被挑选出来编写指南，已出版发行的三卷书中提供了约150份指南。每份指南都有一个全国统一的身份证号码，永久不变；所有主题应每3至5年审查一次。
国家卫生指南是卫生系统决策的重要手段，可提高成本控制和医疗质量。卫生和医学教育部应根据其法律责任进行问责，提供并分发这些指南。
