STANDARDIZATION OF MEDICAL CARE FOR ENDOCRINE DISEASES WITHIN NATIONAL HOSPITAL NETWORK FOR POLICY BASED MEDICINE

Abstract

It is difficult to accumulate enough clinical experience in endocrine diseases at one institute, because endocrine diseases deal with many different target organs such as pituitary, thyroid, parathyroid, adrenal, and gonad glands. With this given situation, we set four aims for this study group: 1) Obtaining a clear understanding of state of practice in endocrine diseases within our hospital network, 2) Creating an environment where Clinicians can share their experience in various clinical entities with other clinicians from different institutes, 3) establishing an evidence-based guideline for diagnosis and standardization of medical care for each endocrine disorder, and 4) establishing clinical evidence about endocrine disease found among the Japanese population. In the first phase of this study, we registered all patients with endocrine disease who were admitted to any of the 23 hospitals in the network from January 2000 to December 2002. Ananalysis of these data revealed the Current state of medical care of endocrine disorders within Our network instltutes.