Clinical and regulatory protocol for the treatment of jaundice in adults and elderly subjects: a support for the health care network and regulatory system

Acta Cirurgica Brasileira

José Sebastião Dos Santos²  Rafael Kemp²  Ajith Kumar Sankarankutty²  Wilson Salgado Júnior²  Fernanda Fernandes Souza²  Andreza Correa Teixeira²  Guilherme Viana Rosa¹  Orlando Castro-e-silva² 

[1] ,Univesity of São Paulo Ribeirão Preto Faculty of Medicine Department of Surgery and Anatomy,Brazil

关键词: Clinical and Regulatory Protocols;    Guidelines;    Regulatory Systems;    Medical Regulation;    Jaundice;    Unified Health System;    Protocolo Clínico e de Regulação;    Regulação Médica;    Icterícia;    Sistema Único de Saúde;   

DOI  :  10.1590/S0102-86502008000700022

来源: SciELO

【 摘 要 】

PURPOSE: Clinical interventions and controlled access to the health care system can be improved by a Regulatory System (RS) and Clinical and Regulatory Protocols (CRPs). The objective of the present paper is to present the methodology used for elaborating the CRPs. METHODS: The process used to elaborate the CPRs involved a scientific co-operation between university and health care system. Workshops were held and attended by primary care practitioners, RS team, and matrix team (university specialists supporting primary care practitioners). RESULTS: The treatment of jaundice in adults and elderly subjects is amongst the themes selected for elaborating the CRPs since jaundice is a medical sign frequently seen in four clinical scenarios involving distinctive diagnostic and therapeutic interventions which can be performed in different health care settings. Evaluation guidelines as well as the clinical and regulatory procedures were established for different health care settings. The most relevant clinical and regulatory interventions were expressed as algorithms in order to facilitate the use of CRPs by health care practitioners. CONCLUSION: It is expected that the implementation of this protocol will minimise the imbalance between the icteric patients' needs and the treatment modalities being offered, thus contributing to a more co-operative health care network.

【 授权许可】

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