The installation of therapeutic protocols in the electronic prescription system of IDIKA continues rapidly.
Implementing protocols for physicians has been a challenge, as highlighted at the 15th Pharmacy and Health Conference and Roundtable on Prescribing and Diagnostic Testing.
The 66 integrated protocols are for outpatient use and are free of charge. The first application leads to a reduction in costs, but it does not produce any results in the long run because there is no prescription from doctors.
THE Eleftherios Thiraios MD, MSc, General PhD/Family Practitioner, NHS Director, Head of the Directorate General for Quality Assurance in Healthcare (ODIPY SA), General Secretary of the Medical Society of Athens reported that 88 protocols were developed and 66 protocols were included. They are clinical decision-making tools for ambulatory use, but not integrated for hospitals. According to Mr. Thiraios, therapeutic protocols are not prescriptive but should be compensatory.
Regarding the obligation of doctors to perform, Mr. Thiraios noted that there should be a framework, conditions to be applied by the state as well, and there should be consistency in the Health Policy as well as relevant regulations. tools and employees. The protocols were implemented in 2012-13, not implemented in the previous decade, need to be updated for use, and at the same time, steps were taken to establish a similar department for the first time in the Ministry.
Regarding the integration of protocols h Hara Kani, MSc, PhDPpharmacist, Head of Department of Pharmacy, EOPYY noted that protocols are essential for a physician to make an informed decision because it guides him from the first step to the last. Currently applicants are not being turned away. The next step in Greece is to go for preferential treatment, which is applied in some countries. Their performance is locked in terms of indication and medication. From experience in the first lipidemia and diabetes protocols, there is usually a reduction in prescription, but you continue to grow, unless the doctor directs equal treatments to choose a more cost-effective treatment, there is no savings. Ms. Kani explained that because there is no compensation priority, you cannot have the savings you want.
More challenges lie in their implementation, he explains Evangelos Frangoulis, MD, MHA, General / Family Physician, General Secretary of the Greek General / Family Medicine and PHY Academy emphasizes that the way the protocols basically work, there is a time delay for the choice of treatment by the doctor. In the protocol, it was important to test it to get the values of the laboratory results.
The doctor noted that they are delaying the experience at the expense of the patients with their way of working, and emphasized the need for scientific documentation.
Regarding the difficulties faced by doctors, he Evangelos Nick. Tulis Specialist Pathologist, Head of Pathological Science, Euromedica General Clinic, Thessaloniki, President of the Professional Association of Pathologists of Greece, explained that doctors have patients with many comorbidities, which needs a way to improve because it causes delay. Treatment of the patient is carried out individually. Doctors practice trying to miss defects without faithfully applying protocols.
In turn, Dr Athanasios N. Chalazonitis,Coordinator of Radiology Laboratory and Director of Medical Service of “Alexandra” Hospital, President of Hellenic Society of Radiology argued that we can have diagnostics and therapeutics in Radiology.
In 2012, the Society of Radiology developed diagnostic protocols that apply eligibility criteria to limit tests that should not be performed and protect the public from unnecessary radiation exposure. They are approved in 2019 and remain in the drawer. EAE proposes that by the end of November they will be updated with the existing approval of KESY to be received by IDIKA. The result will be to put a filter on exams that shouldn’t be done, because so far radiologists have pulled their claws back.