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  Dabbagh A * ¹ (MD), Mirmiran B² (MD), Erfani N² (MD), Bikdeli B² (MD), Kermani S² (MD), Beyhaghi H³ (MD), Kasraei F² (MD), Rajaei S⁴ (MD, PhD), Chitsaz E² (MD), Bikdeli B² (MD)

  ¹ Anesthesiology Research Center, Department of Anesthesiology,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  ² Anesthesiology Research Center, Department of Health System Research,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  ³ Department of Pharmacoeconomy, School of Pharmacy,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  ⁴ Department of Immunology, School of Medicine,

  Tehran University of Medical Sciences, Tehran, Iran

  Received: 8 Nov 2009, Accepted: 12 May 2010

  Abstract

Introduction: Clinical practice guidelines are formatted texts that are prepared in a systematic approach to help clinical decision making in special conditions. The aim of these guidelines is to prepare clear recommendations with definite goals to influence the audience, mainly the physician.

Methods: In this study, the appropriate approach for adoption of clinical practice guidelines in the national health system is defined based on the experienced project in the Iranian national health system in 2005-2007 which yielded in 20 national guidelines for primary care physicians. The process of adaptation consists of three stages. The first one is the preparing stage which consists of the steps necessary for starting the process of adaptation and is composed of 5 sub-stages. The second stage is writing and editing the questions, which consists of selecting and preparing a number of questions and then searching the resources and finding the guidelines. This stage consists of 12 sub-stages. The 3rd stage is the finalizing stage which consists of 3 sub-stages and includes getting feedbacks, consultation, updating and finalizing the guideline draft.

Conclusion: Using c linical practice guidelines, especially when they are prepared by adoption method, can increase the quality of care in health care systems. Of course it needs extensive planning and coordination in different parts of the system fortunately promising approaches have been taken in our country in recent years.

  Key words: Practice Guidelines as Topic, National Health Programs, Health Care Category

  Hakim Research Journal 2010 13(1): 49- 57.