need for Self-Regulation employing Appropriate Use Criteria (AUC)

M. Hafizullah
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Abstract

Involvement of our cardiology community in developing indigenous AUC in the light of current evidence shall enhance our understanding of the benefits and risks of different indications of procedures. The appropriate and universal use of AUC has the potential to improve patient care and, at the same time, prevent misuse of procedures. This shall surely result in a reduction of the overall cost. The way to rationally look at AUC is to understand that the mirror of AUC helps us reflect on the value of care we provide to patients. If we work hard towards this goal, we should be able to retain the privilege of self-regulation and, more significantly, the trust of our patients and community. To conclude, if we as cardiologists do not work hard to not only clearly define AUC but actively measure appropriateness, we stand a great chance of losing to self-regulate our clinical practice.
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采用适当使用标准(AUC)进行自我监管的需要
根据目前的证据,我们的心脏病学社区参与制定本土AUC,将增强我们对不同手术指征的获益和风险的理解。适当和普遍使用AUC有可能改善患者护理,同时防止程序滥用。这肯定会导致总成本的降低。理性看待AUC的方法是理解AUC的镜像帮助我们反思我们为患者提供的护理的价值。如果我们朝着这个目标努力,我们应该能够保留自我监管的特权,更重要的是,我们的病人和社会的信任。总之,如果我们作为心脏病专家不努力不仅明确定义AUC,而且积极衡量适当性,我们很有可能失去自我规范我们的临床实践。
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