The current state of clinical recommendations development in occupational health

Clinical recommendations (CR) are one of the tools for introducing the principles of evidence-based medicine into healthcare practice, the application of which will allow practitioners to provide high-quality and safe medical care using optimal clinical practices. The special features of clinical recommendations in the field of occupational health are their focus not only on the diagnosis, prevention, treatment and rehabilitation of occupational diseases, but also on highlighting issues related to the organization of medical care, the examination of professional suitability and the connection of the disease with the profession. The analysis of the current state of the development of clinical recommendations on the main nosological forms of occupational diseases is carried out. Clinical recommendations that are at different stages of development are presented, both in the form of independent reviews and as sections on the occupational etiology of various nosological forms in general clinical recommendations. The prospects of creating clinical recommendations in the field of occupational medicine, their approval and further application are presented. The authors noted the main stages of the development and implementation of clinical recommendations, which are the main tool for supporting decision-making and ensuring the proper quality of medical care. Experts have identified the need to develop local regulations in medical organizations that define the procedure for implementing clinical recommendations, algorithms for the actions of medical personnel in the process of their application, protocols for treatment, diagnosis, and rehabilitation, including criteria for the quality of medical care.