Evidence-Based Medicine Guidelines (EBMG) is an international information system for supporting medical decisions. It is a constantly updated clinical guidelines for the diagnosis and treatment of diseases for the daily work of practicing physicians of all primary care specialties, based on evidence-based medicine [1] . The chief editor of this database is Ilkka Kunnamo [2] .
| Evidence-Based Medicine Guidelines | |
|---|---|
| Official language | English , Hungarian , Italian , German , Turkish , Dutch , French and Estonian |
| Base | |
| Established | 1987 |
| Industry | the medicine |
| duodecim.fi | |
Content
History
The medical decision support information system was founded in 1987 by the Finnish Medical Society Duodecim . Two years after its creation, in 1989, its electronic version was launched.
The purpose of creating the system was the need to provide general practitioners in a guide to the diagnosis and treatment of a significant number of diseases in the context of the growth of new scientific data to reduce the number of medical errors. When creating the system, two fundamental principles were laid. The first is that the clinical guidelines are based on evidence- based medicine data (the confirmed results of randomized controlled trials ) and the second is the continuous process of updating the guidelines, which involves a 100% review of all these recommendations during each year [3] . 550 internationally recognized experts of the level of doctor of medical sciences in 53 medical specialties participated in the development and updating of recommendations. In addition, more than 2 thousand Finnish practitioners are involved in the process of continuous improvement of recommendations. Currently, it is used by most doctors in the Finnish healthcare system [4] .
Melanie Jasper and Mansour Jumma in their work “Effective Healthcare Leadership” cite EBMG as a successful business project “strategic change management” [5] .
Description
EBMG includes about 1 thousand main articles on both symptoms and diagnoses, 1,500 photographs; Dozens of videos of various medical procedures in the primary care; audio recordings of heart and lung sounds; images of cardiograms, x-rays and ultrasound images. All information is updated annually by at least 20% [6] [7] .
The base was first translated into English in 2000, and in 2005 it was published as a print publication. Due to the update process and translations from one language to another, different language versions of EBMG are different from each other [8] . In total, EBMG (in addition to Finnish) has been translated into eight languages: English , Hungarian , Italian , German , Turkish , Dutch , French and Estonian [9] [8] . Currently EBMG is used in fourteen countries: Austria , Belgium , Great Britain , Germany , Denmark , India , Italy , Canada , Russia , USA , Finland , France and Estonia . EBMG is the only foreign product of its kind licensed by the UK National Health Service [2] .
In 2017, EBMG was translated into Russian, adapted to Russian clinical practice and the regulatory framework and was called “ Algom ” [10] . The project's medical director is a Finnish doctor, member of DUODECIM Valeria Dansson , and the chief scientific editor is Doctor of Medical Sciences, professor of Sechenovskiy University Chavdar Pavlov [11] . The Russian evidence-based medicine database is being developed jointly by Sechenov University , Cochrane Russia , the Central Scientific Medical Library and several research institutes [12] .
Notes
- ↑ Jessica A. Koos. Essential Evidence Plus (Eng.) // Journal of the Medical Library Association. - 2017 .-- 1 July ( no. 105 ). - P. 302-304 . - PMID PMC5490716.
- ↑ 1 2 International scientific conference "Systems for supporting medical decisions based on evidence-based medicine" . Medvednik (October 23, 2017). Date of treatment July 7, 2018.
- ↑ Armin Nassehi, Irmhild Saake, Jasmin Siri. Ethik - Normen - Werte. - Springer-Verlag, 2014 .-- S. 306. - 323 p. - ISBN 978-3-658-00110-0 .
- ↑ Jorma Komulainen, Ilkka Kunnamo, Peter Nyberg. Developing an Evidence Based Medicine Decision Support System Integrated with EPRs Utilizing Standard Data Elements .
- ↑ Melanie Jasper, Mansour Jumaa. Effective Healthcare Leadership. - John Wiley & Sons, 2008 .-- S. 154. - 288 p. - ISBN 978-1-405-12182-8 .
- ↑ The relevance of medical decision support systems (rus.) .
- ↑ Gasnikova Vlad. Healthy beginnings (Russian) // Kommersant Business Guide. - 2016. - June 21 ( No. 108 ). - S. 21 .
- ↑ 1 2 Jaana Elberkennou. Traumatological symptoms in Evidence Based Medicine Guidelines and Lääkärin käsikirja . - Vaasa, 2008 .-- 89 p.
- ↑ Evidence Based Medicine Guidelines (EBMG) distribution in Italy . Duodecim (September 25, 2014). Date of treatment July 7, 2018.
- ↑ In Russia, they will introduce an international system for supporting medical decisions (Inaccessible link) . Sechenov University (October 25, 2017). Date accessed July 7, 2018. Archived July 9, 2018.
- ↑ The exit from the impasse . Helsinki News (September 27, 2015). Date of treatment July 7, 2018.
- ↑ Shevchenko Rimma. A Russian version of the Finnish system for supporting medical decisions Is being created . Medvednik (October 23, 2017). Date of treatment July 7, 2018.
Literature
- Ilkka Kunnamo. Evidence-Based Medicine Guidelines. - John Wiley & Sons. - 2005 .-- 1378 p. - ISBN 978-0-470-01184-3 .
Links
- SI Saarni, HA Gylling. Evidence based medicine guidelines: a solution to rationing or politics disguised as science? // Journal of Medical Ethics. - 2004. - April ( No. 30 ). - S. 171-175 .
- Douglas L. McGee. Evidence-Based Medicine and Clinical Guidelines . The Merck Manuals (2015). Date of treatment July 7, 2018.