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Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Gilyazetdinova N.S.

Center for Expertise and Quality Control of Medical Care

Shimanovskaya D.O.

Department of External Affairs and Public Relations of the Ministry of Health of the Russian Federation

Ryzhov A.O.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Siamionau A.V.

Republican Scientific Practical Center for Medical Technologies, Informatization, Management and Health Economics

Telesheva A.N.

Healthcare Organization Department under the Ministry of Health of Kazakhstan

Matomorova A.A.

Center for Development of Healthcare and Medical Technologies under the Ministry of Health of the Kyrgyz Republic

Ubaidullaeva S.A.

Health Insurance Department of the Ministry of Health of Uzbekistan

Clinical guidelines or similar documents in members of Commonwealth Independent States: normative status and development experience

Authors:

Omelyanovskiy V.V., Gilyazetdinova N.S., Shimanovskaya D.O., Ryzhov A.O., Siamionau A.V., Telesheva A.N., Matomorova A.A., Ubaidullaeva S.A.

More about the authors

Journal: Medical Technologies. Assessment and Choice. 2024;46(3): 11‑22

DOI: 10.17116/medtech20244603111

Views: 1459

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Table of contents

CLINICAL GUIDELINES OR SIMILAR DOCUMENTS IN MEMBERS OF COMMONWEALTH INDEPENDENT STATES: NORMATIVE STATUS AND DEVELOPMENT EXPERIENCE
CLINICAL GUIDELINES OR SIMILAR DOCUMENTS IN MEMBERS OF COMMONWEALTH INDEPENDENT STATES: NORMATIVE STATUS AND DEVELOPMENT EXPERIENCE

To cite this article:

Omelyanovskiy VV, Gilyazetdinova NS, Shimanovskaya DO, et al. . Clinical guidelines or similar documents in members of Commonwealth Independent States: normative status and development experience. Medical Technologies. Assessment and Choice. 2024;46(3):11‑22. (In Russ.)
https://doi.org/10.17116/medtech20244603111

 
Подписка 2025-2 (Medical Technologies. Assessment and Choice)
МСФ на ЯМ
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OBJECTIVE

To analyze development of clinical guidelines (CG) or similar documents and their normative status in the Commonwealth Independent States (CIS).

MATERIAL AND METHODS

We reviewed regulatory legal documents and surveyed experts from 5 CIS countries (the Russian Federation, the Republic of Belarus, the Republic of Kazakhstan, the Kyrgyz Republic, the Republic of Uzbekistan). Survey was based on original questionnaire devoted to development of CGs and their status.

RESULTS

Three types of documents similar in meaning are being developed in 5 countries: clinical protocols (the Republic of Belarus, the Republic of Kazakhstan, the Kyrgyz Republic, the Republic of Uzbekistan), clinical guidelines (the Kyrgyz Republic) and CGs (the Russian Federation). In all countries, development of CGs/protocols/guidelines is a structured multi-stage process. The rules for developing CGs are unified and approved within the country. At the same time, the structures responsible for developing CGs vary from country to country. Expertise and/or review of CGs are present in all countries with different mechanism. In 2 countries (the Russian Federation and the Kyrgyz Republic), documents contain items intended for medical care quality control (criteria for medical care quality in the Russian Federation, indicators for assessing the quality of medical care in the Kyrgyz Republic). In the Russian Federation and the Republic of Belarus, inclusion of unregistered medicinal products is not provided, but inclusion of medicines off-label is allowed. In other 3 countries, inclusion of unregistered medicinal products is possible, while medicines off-label are not included in CGs.

CONCLUSION

Development of clinical guidelines or similar documents is very important in 5 CIS members. Despite the general trend to unify the requirements for creation of clinical guidelines/protocols, there are differences in the status of documents, their content, development and approval.

Keywords:

clinical guidelines
clinical protocols
quality of medical care
Commonwealth of Independent States

Authors:

Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Gilyazetdinova N.S.

Center for Expertise and Quality Control of Medical Care

Shimanovskaya D.O.

Department of External Affairs and Public Relations of the Ministry of Health of the Russian Federation

Ryzhov A.O.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Siamionau A.V.

Republican Scientific Practical Center for Medical Technologies, Informatization, Management and Health Economics

Telesheva A.N.

Healthcare Organization Department under the Ministry of Health of Kazakhstan

Matomorova A.A.

Center for Development of Healthcare and Medical Technologies under the Ministry of Health of the Kyrgyz Republic

Ubaidullaeva S.A.

Health Insurance Department of the Ministry of Health of Uzbekistan

Received:

05.06.2024

Accepted:

08.07.2024

List of references:

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  4. Guidelines International Network. Accessed July 20, 2024. https://g-i-n.net/about-gin
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  7. Fedyaeva VK, Dmitrieva UN, Juravleva NI, Juravlev NI, Kovaleva MYu, Korobkina A S., et al. Regulatory and legal status of  clinical guidelines and  their role in  the  quality control of medical care in  countries of  the  European Union, North America and  Asia. Farmakoekonomika. Sovremennaya farmakoekonomika i farmakoepidemiologiya. 2019;12 (3):239-245. (In Russ.). https://doi.org/10.17749/2070-4909.2019.12.3.239-245
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