RECOMMENDATIONS BASED ON EXPERTS’ OPINION. STANDPOINT OF RUSSIAN PHYSICIANS
The article presents the standpoint of Russian physicians (obtained by means of survey of 13 expert clinician cardiologists of a Russian clinic) on the recommendations of American Academy of Family Physicians based on expert’s opinion. According to the results of the survey it is noted that a consensus was reached in 8 out of 12 recommendations, and upon one of the recommendations all Russian physicians participating in the survey disagreed. Thereby it is shown that the recommendations is only a basis for decision making and in each particular case a physician makes a decision based on the clinical features and the current situation. Moreover, our research testifies that perhaps in the Russian Federation it is also needed to use not just blind copying of even the most advanced recommendations and quite formal (but not formalized) discussion of these recommendations by specialists. It is also necessary to update the recommendations taking into account the new evidences (results of methodologically correct researches) as well as reasonability of participating in discussion and considering the opinions of representatives and scientific communities, practitioners, representatives of different medical organizations, governing bodies of the health care system and insurance companies.