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首页> 外文期刊>Journal of population therapeutics and clinical pharmacology >The Canadian guidelines and the interdisciplinary clinical capacity of Canada to diagnose fetal alcohol spectrum disorder
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The Canadian guidelines and the interdisciplinary clinical capacity of Canada to diagnose fetal alcohol spectrum disorder

机译：加拿大指南和加拿大诊断胎儿酒精谱异常的跨学科临床能力

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Background In 2005, the CMAJ published the Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. The intent of this publication was to encourage a more consistent interdisciplinary team approach and diagnostic procedure for FASD diagnoses. That same year, the Canada Northwest FASD Research Network (CanFASD Northwest) determined the locations and capacity for interdisciplinary FASD diagnosis across Canada. Six years later, we wondered how successfully these Guidelines had been in bringing consistency to FASD clinical work. Method All clinical programs in Canada that routinely performed FASD evaluations were identified through membership in either our Network Action Team on FASD Diagnosis, professional meetings, organizational memberships, websites, programs lists available from Provincial or Federal offices or by word of mouth. Surveys were sent to all of the programs identified. Results A total of 55 clinics had been identified in seven provinces and one territory in 2005 that did FASD multidisciplinary diagnostics. In 2011 only 44 clinics were identified in six provinces and one territory using the same methodology. Survey responses were completed by 89% of these 44 clinics identified in 2011. The Guidelines were well known to all programs and actively referred to by most. Only 46% of respondents had a full staff of professionals on site for diagnosis, however 90% did use the team approach in determining final FASD diagnosis, while 79% used the team to help in developing a treatment plan. Among the clinics reporting, 74% of them used the new diagnostic schema proposed in the Guidelines and another 12% report using both the Guidelines and another system for diagnosis. Interpretation The Guidelines have become well known to the medical community. They have contributed to increased consistency in approach and in diagnosis. The variations in clinical ability to fully staff themselves, and the 20% decline in clinic numbers suggest important funding gaps. Many provinces and territories still have no local interdisciplinary programs for FASD diagnosis, and the need across Canada is still many times greater than what is currently available.
机译：背景技术2005年，CMAJ出版了《胎儿酒精谱系疾病：加拿大诊断指南》。该出版物的目的是鼓励对FASD诊断采用更一致的跨学科团队方法和诊断程序。同年，加拿大西北部FASD研究网络（CanFASD Northwest）确定了加拿大跨学科FASD诊断的位置和能力。六年后，我们想知道这些准则在为FASD临床工作带来一致性方面取得了多大的成功。方法通过我们的FASD诊断网络行动小组成员，专业会议，组织成员资格，网站，省或联邦办公室提供的项目清单或通过口口相传的方式，确定了加拿大所有常规执行FASD评估的临床项目。调查被发送到所有确定的程序。结果2005年，在7个省和1个地区共确定了55个诊所，进行了FASD多学科诊断。在2011年，使用相同的方法在六个省和一个地区仅识别出44个诊所。在2011年确定的这44家诊所中，有89％完成了调查答复。《指南》对于所有计划都是众所周知的，并且大多数人都在积极引用。只有46％的受访者在现场拥有完整的专业人员进行诊断，但是90％的确使用团队方法来确定FASD的最终诊断，而79％的受访者则使用团队来帮助制定治疗计划。在报告的诊所中，有74％的诊所使用了指南中提出的新诊断方案，另有12％的报告同时使用了指南和其他诊断系统。解释《指南》已为医学界所熟知。它们有助于增加方法和诊断的一致性。充分配备人员的临床能力各不相同，诊所数量下降20％，这表明存在重大的资金缺口。许多省和地区仍然没有本地跨学科的FASD诊断计划，而加拿大的需求仍然比目前的需求高出许多倍。

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