Standard practice preview – a way to solve the new problems in
reproductive health services
O. Casian-Botez, L. Coca, D.S. Tomosoiu
‘Elena Doamna’ Women’s Wellness Center, Iasi, Romania
Aims: Reproductive health services often use guidelines in dealing
with basic issues (contraceptive, sexually transmitted diseases, genital cancer,
etc.). As the efficiency and quality of the services improve, the number of
patients addressing the Centre increases and, as a result, the number of
problems and situations which are not covered by the guidelines and which
require periodical reviews also increase.
Tools and Methods: The solution adopted by the WWC Iasi was to perform
a Practice Standard Review using the Learning Resource Centre (LRC). The
algorithm for conducting the Practice Standard Review was (1) Identifying the
problems by the members of the staff, establishing the research area (Cochrane,
Ovid,Hinari); research for data in the available literature performed by the LRC
coordinator and update of the bibliography; (2) Assembling information,
identifying the efficient practices, choice of the less expensive solution; (3)
Creation of the Practice Standard Review; the dissemination strategy, criteria
for evaluating efficiency, staff compliance; (4) In some cases – pointing out
the possibilities for financial intervention.
Conclusion: The Practice Standard Review was modelled following
repeated modifications and it is not excessively thorough (in some cases,
written Practice Standard Reviews may prove useful). No statistical results and
no original research preformed within the institution are necessary. The review
includes the entire evidence base published, critics, as well as conclusions and
recommendations for practical implementation in our Centre. The Practice
Standard Review is an efficient, flexible and achievable solution for medical
practice and it is highly adapted to the needs of a reproductive health service.
