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【医学ppt课件】FinancialDisclosure

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医学ppt课件 【医学课件】Financial Disclosure 【医学ppt课件】Financial financial
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Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. nI have the following financial interests or relationships to disclose: – OMIC-Ophthalmic Mutual Insurance Company - C,L, – Santen, Inc. - C, Financial Disclosure Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. PROMOTING AND PROMOTING AND IMPLEMENTING CLINICAL IMPLEMENTING CLINICAL PRACTICE GUIDELINES IN PRACTICE GUIDELINES IN DEVELOPING COUNTRIES:DEVELOPING COUNTRIES: THE CHINA EXPERIENCETHE CHINA EXPERIENCE ACADEMIA OPHTHALMOLOGICA INTERNATIONALIS INAUGURAL LECTURE OCTOBER 24, 2009 SAN FRANCISCO Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. RICHARD L. ABBOTT, M.D THOMAS W. BOYDEN HEALTH SCIENCES PROFESSOR OF OPHTHALMOLOGY UNIVERSITY OF CALIFORNIA SAN FRANCISCO SENIOR ADVISOR FOR INTERNATIONAL EDUCATION AMERICAN ACADEMY OF OPHTHALMOLOGY CHAIRMAN CLINICAL GUIDELINES COMMITTEE INTERNATIONAL COUNCIL OF OPHTHALMOLOGY Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. DOES ONE SIZE FIT DOES ONE SIZE FIT ALL?ALL? WHAT HAVE WE LEARNED FROM WHAT HAVE WE LEARNED FROM CHINA AND CAN IT BE APPLIED TO CHINA AND CAN IT BE APPLIED TO OTHER COUNTRIES?OTHER COUNTRIES? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. CLINICAL PRACTICE CLINICAL PRACTICE GUIDELINES GUIDELINES PROJECT IN CHINAPROJECT IN CHINA COLLABORATIVE EFFORT COLLABORATIVE EFFORT BETWEEN:BETWEEN: COS Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. CLINICAL PRACTICE GUIDELINES PROJECT IN CHINA DEVELOPMENT PHASE (2004-2006)(2004-2006) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. CLINICAL PRACTICE GUIDELINES PROJECT IN CHINA nDevelopment nPromotion –Awareness –Agreement –Adoption –Compliance FOUR STEPS Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. PROMOTION OF CLINICAL PRACTICE GUIDELINES IN CHINA BEIJING 2006 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. AWARENESS n n Must know that they Must know that they existexist n n Must be familiar with Must be familiar with conceptconcept n n Must have Must have educational programseducational programs Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. WHAT HAVE WE LEARNED FROM CHINA AND HOW CAN IT BE APPLIED TO OTHER COUNTRIES? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. PROCESS FOR IMPLEMENTATION nWork through governmental, national and local societies nCreate a “steering committee” of interested and influential leaders Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. THANK YOU!谢谢谢谢 ! more Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. KEY PRINCIPLES nLOCAL LEADERSHIP AND STRONG DESIRE TO IMPROVE QUALITY OF CARE (ZEALOT(S)!) nNEED FUNDING TO SUPPORT WORK nSTRUCTURE OR ROAD MAP ON STEPS REQUIRED TO SUCCEED nINCENTIVES TO FOLLOW GUIDELINES Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. HOW ARE GUIDELINES BEST INCORPORATED INTO CLINICAL PRACTICE? nCreate awareness through: – Wide dissemination – Education process (meetings, journals, internet) – 14th COS Congress in Chongqing had entire day of seminars Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Physician compliance with guideline use is significant challenge Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. COMPLIANCE nEase of incorporation into practice nMinimal change required by physician nMinimal cost nLittle time constraints Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. COMPLIANCE nNeed Incentives (or Penalties) –Bonus –Lower costs –More patients –Recognition –Lower re-imbursement –Loss of licensure Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. GOVERNMENT GOVERNMENT SUPPORTSUPPORT MINISTRY OF HEALTH MINISTRY OF HEALTH RECOGNITION (RECOGNITION (April, 2009April, 2009 )! )! Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. STUDIES IN CHINA TO EXAMINE AWARENESS OF PPPs AND BARRIERS TO USE (COMPLIANCE) nEYE CENTER OF PEOPLES HOSPITAL- PEKING UNIVERSITY – Professor Li Xiaoxin nTONGREN HOSPITAL – BEIJING – Professor Wang Ningli Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 20 美国眼科临床指南的适用性研美国眼科临床指南的适用性研 究究 Assessment of Ophthalmological Care Assessment of Ophthalmological Care Before and After the Introduction of Before and After the Introduction of Clinical Practice Guidelines in 3Clinical Practice Guidelines in 3 rdrd level level Hospitals in BeijingHospitals in Beijing —— ——青光眼部分青光眼部分( (Glaucoma sectionGlaucoma section) ) 北京同仁眼科中心北京同仁眼科中心 Beijing Tongren Eye CenterBeijing Tongren Eye Center 王宁利王宁利 Ningli WangNingli Wang Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Question 1: Why do we have to implement CLINICAL PRACTICE GUIDELINES in China? 21 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 22 Answer: Lack of consistent quality and evidence based diagnosis and treatment in China. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Tongren survey result: nMost of the doctors in 3rd level hospital know about clinical guideline content. nBut few doctors completely follow recommendations in their clinical work. 23 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. TONGREN HOSPITAL SURVEY RESULTS nGLAUCOMA (TONGREN VS PROVINCIAL HOSPITAL) – ONH EVALUATION FOR GLAUCOMA PT? § TONGREN: 100% § PROVINCIAL: 35% – INQUIRE ABOUT SYSTEMIC MECICAL HX? § TONGREN:98% § PROVINCIAL: 77% – TARGET PRESSURE FOR EACH PT? § TONGREN: 52% § PROVINCIAL: 6% – RECORD TIME OF IOP MEASURMENT? § TONGREN: 44% § PROVINCIAL: 14% Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 25 Question 2: Why have Clinical Guidelines not been implemented in China? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 26 Answer: Current practice pattern of diagnosis & management in China difficult to meet requirements of clinical guideline Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. EXAMPLE OF CLINICAL GUIDELINE FOR ANGLE CLOSURE GLAUCOMA nGonioscopy [A:Ⅲ] nDocumentation of the optic disc morphology, best performed by color stereophotography or computer based image analysis [A:Ⅱ] nVisual field evaluation [A:Ⅲ] ntopical medications constitute effective initial therapy [A:Ⅲ] 27 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 28 Ø Gonioscopy • lens often not available • time-consuming • no re-imbursement Ø optic disc morphology • no computer based image analysis center • time-consuming • no re-imbursement Ø Visual field • lack of equipment • waiting period too long • many patients lost to follow-up Ø topical medications • no or limited education for patients • poor compliance Example: Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 29 Question 3: How do we implement clinical guidelines in China? Require Administrative intervention? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 30 Answer: Its not easy! High volume of patients would require more to be done for each patient! nDoctors’ work load would be increased Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 31 Question 4: What can we do now? Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 32 Answer: Set up a simple, convenient and efficient diagnosis & management system that can integrate with clinical guidelines Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Modify current medical record format according to PPP 33 EX: Gonioscopy Descriptive Static: ODOS Pigment trabecular 0: No-see. ( Label in quadrant area.) 1: see Dynamic: Delineate PAS extent and degree by line. OD│_│ 个钟点OD│_│ 个钟点 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
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