Medical guidelines: a valid and reliable management tool?
Identifieur interne : 001170 ( Istex/Corpus ); précédent : 001169; suivant : 001171Medical guidelines: a valid and reliable management tool?
Auteurs : Reiner P. HellbrückSource :
- The International Journal of Health Planning and Management [ 0749-6753 ] ; 1997-01.
English descriptors
- KwdEn :
Abstract
Medical practice guidelines are one instrument to improve either quality care or to encourage efficient health care production. To achieve these goals they have to be valid, reliable, clinically applicable, clear, and timely revised. This article checks whether current efforts to develop and establish guidelines meet these criteria. Unfortunately, it turns out that especially the compliance of the first two criteria is problematic. It is concluded that medical guidelines are, as yet, neither a scientifically sound way to improve quality care nor a ready means to improve efficient health care production. Approaches to complement these efforts are therefore discussed. © 1997 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E
Links to Exploration step
ISTEX:F35A91CBE1B0EBFE41825F509A3787924CB33A2DLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Medical guidelines: a valid and reliable management tool?</title>
<author><name sortKey="Hellbruck, Reiner P" sort="Hellbruck, Reiner P" uniqKey="Hellbruck R" first="Reiner P." last="Hellbrück">Reiner P. Hellbrück</name>
<affiliation><mods:affiliation>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</mods:affiliation>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:F35A91CBE1B0EBFE41825F509A3787924CB33A2D</idno>
<date when="1997" year="1997">1997</date>
<idno type="doi">10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E</idno>
<idno type="url">https://api.istex.fr/document/F35A91CBE1B0EBFE41825F509A3787924CB33A2D/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001170</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001170</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Medical guidelines: a valid and reliable management tool?</title>
<author><name sortKey="Hellbruck, Reiner P" sort="Hellbruck, Reiner P" uniqKey="Hellbruck R" first="Reiner P." last="Hellbrück">Reiner P. Hellbrück</name>
<affiliation><mods:affiliation>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</mods:affiliation>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">The International Journal of Health Planning and Management</title>
<title level="j" type="abbrev">Int. J. Health Plann. Mgmt.</title>
<idno type="ISSN">0749-6753</idno>
<idno type="eISSN">1099-1751</idno>
<imprint><publisher>John Wiley & Sons, Ltd.</publisher>
<pubPlace>Chichester, UK</pubPlace>
<date type="published" when="1997-01">1997-01</date>
<biblScope unit="volume">12</biblScope>
<biblScope unit="issue">1</biblScope>
<biblScope unit="page" from="51">51</biblScope>
<biblScope unit="page" to="62">62</biblScope>
</imprint>
<idno type="ISSN">0749-6753</idno>
</series>
<idno type="istex">F35A91CBE1B0EBFE41825F509A3787924CB33A2D</idno>
<idno type="DOI">10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E</idno>
<idno type="ArticleID">HPM451</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0749-6753</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>competition</term>
<term>efficiency</term>
<term>medical guidelines</term>
<term>quality</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Medical practice guidelines are one instrument to improve either quality care or to encourage efficient health care production. To achieve these goals they have to be valid, reliable, clinically applicable, clear, and timely revised. This article checks whether current efforts to develop and establish guidelines meet these criteria. Unfortunately, it turns out that especially the compliance of the first two criteria is problematic. It is concluded that medical guidelines are, as yet, neither a scientifically sound way to improve quality care nor a ready means to improve efficient health care production. Approaches to complement these efforts are therefore discussed. © 1997 John Wiley & Sons, Ltd.</div>
</front>
</TEI>
<istex><corpusName>wiley</corpusName>
<author><json:item><name>Reiner P. Hellbrück</name>
<affiliations><json:string>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</json:string>
</affiliations>
</json:item>
</author>
<subject><json:item><lang><json:string>eng</json:string>
</lang>
<value>medical guidelines</value>
</json:item>
<json:item><lang><json:string>eng</json:string>
</lang>
<value>quality</value>
</json:item>
<json:item><lang><json:string>eng</json:string>
</lang>
<value>efficiency</value>
</json:item>
<json:item><lang><json:string>eng</json:string>
</lang>
<value>competition</value>
</json:item>
</subject>
<articleId><json:string>HPM451</json:string>
</articleId>
<language><json:string>eng</json:string>
</language>
<abstract>Medical practice guidelines are one instrument to improve either quality care or to encourage efficient health care production. To achieve these goals they have to be valid, reliable, clinically applicable, clear, and timely revised. This article checks whether current efforts to develop and establish guidelines meet these criteria. Unfortunately, it turns out that especially the compliance of the first two criteria is problematic. It is concluded that medical guidelines are, as yet, neither a scientifically sound way to improve quality care nor a ready means to improve efficient health care production. Approaches to complement these efforts are therefore discussed. © 1997 John Wiley & Sons, Ltd.</abstract>
<qualityIndicators><score>6.183</score>
<pdfVersion>1.2</pdfVersion>
<pdfPageSize>468 x 703 pts</pdfPageSize>
<refBibsNative>false</refBibsNative>
<keywordCount>4</keywordCount>
<abstractCharCount>705</abstractCharCount>
<pdfWordCount>4911</pdfWordCount>
<pdfCharCount>31877</pdfCharCount>
<pdfPageCount>12</pdfPageCount>
<abstractWordCount>106</abstractWordCount>
</qualityIndicators>
<title>Medical guidelines: a valid and reliable management tool?</title>
<genre.original><json:string>article</json:string>
</genre.original>
<genre><json:string>article</json:string>
</genre>
<host><volume>12</volume>
<publisherId><json:string>HPM</json:string>
</publisherId>
<pages><total>12</total>
<last>62</last>
<first>51</first>
</pages>
<issn><json:string>0749-6753</json:string>
</issn>
<issue>1</issue>
<subject><json:item><value>Research Article</value>
</json:item>
</subject>
<genre><json:string>journal</json:string>
</genre>
<language><json:string>unknown</json:string>
</language>
<eissn><json:string>1099-1751</json:string>
</eissn>
<title>The International Journal of Health Planning and Management</title>
<doi><json:string>10.1002/(ISSN)1099-1751</json:string>
</doi>
</host>
<publicationDate>1997</publicationDate>
<copyrightDate>1997</copyrightDate>
<doi><json:string>10.1002/(SICI)1099-1751(199701)12:1>51::AID-HPM451>3.0.CO;2-E</json:string>
</doi>
<id>F35A91CBE1B0EBFE41825F509A3787924CB33A2D</id>
<score>1</score>
<fulltext><json:item><original>true</original>
<mimetype>application/pdf</mimetype>
<extension>pdf</extension>
<uri>https://api.istex.fr/document/F35A91CBE1B0EBFE41825F509A3787924CB33A2D/fulltext/pdf</uri>
</json:item>
<json:item><original>false</original>
<mimetype>application/zip</mimetype>
<extension>zip</extension>
<uri>https://api.istex.fr/document/F35A91CBE1B0EBFE41825F509A3787924CB33A2D/fulltext/zip</uri>
</json:item>
<istex:fulltextTEI uri="https://api.istex.fr/document/F35A91CBE1B0EBFE41825F509A3787924CB33A2D/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Medical guidelines: a valid and reliable management tool?</title>
<respStmt xml:id="ISTEX-API" resp="Références bibliographiques récupérées via GROBID" name="ISTEX-API (INIST-CNRS)"></respStmt>
</titleStmt>
<publicationStmt><authority>ISTEX</authority>
<publisher>John Wiley & Sons, Ltd.</publisher>
<pubPlace>Chichester, UK</pubPlace>
<availability><p>WILEY</p>
</availability>
<date>1997</date>
</publicationStmt>
<sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Medical guidelines: a valid and reliable management tool?</title>
<author><persName><forename type="first">Reiner P.</forename>
<surname>Hellbrück</surname>
</persName>
<note type="correspondence"><p>Correspondence: Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</p>
</note>
<affiliation>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</affiliation>
</author>
</analytic>
<monogr><title level="j">The International Journal of Health Planning and Management</title>
<title level="j" type="abbrev">Int. J. Health Plann. Mgmt.</title>
<idno type="pISSN">0749-6753</idno>
<idno type="eISSN">1099-1751</idno>
<idno type="DOI">10.1002/(ISSN)1099-1751</idno>
<imprint><publisher>John Wiley & Sons, Ltd.</publisher>
<pubPlace>Chichester, UK</pubPlace>
<date type="published" when="1997-01"></date>
<biblScope unit="volume">12</biblScope>
<biblScope unit="issue">1</biblScope>
<biblScope unit="page" from="51">51</biblScope>
<biblScope unit="page" to="62">62</biblScope>
</imprint>
</monogr>
<idno type="istex">F35A91CBE1B0EBFE41825F509A3787924CB33A2D</idno>
<idno type="DOI">10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E</idno>
<idno type="ArticleID">HPM451</idno>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><creation><date>1997</date>
</creation>
<langUsage><language ident="en">en</language>
</langUsage>
<abstract xml:lang="en"><p>Medical practice guidelines are one instrument to improve either quality care or to encourage efficient health care production. To achieve these goals they have to be valid, reliable, clinically applicable, clear, and timely revised. This article checks whether current efforts to develop and establish guidelines meet these criteria. Unfortunately, it turns out that especially the compliance of the first two criteria is problematic. It is concluded that medical guidelines are, as yet, neither a scientifically sound way to improve quality care nor a ready means to improve efficient health care production. Approaches to complement these efforts are therefore discussed. © 1997 John Wiley & Sons, Ltd.</p>
</abstract>
<textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head>
<item><term>medical guidelines</term>
</item>
<item><term>quality</term>
</item>
<item><term>efficiency</term>
</item>
<item><term>competition</term>
</item>
</list>
</keywords>
</textClass>
<textClass><keywords scheme="Journal Subject"><list><head>article-category</head>
<item><term>Research Article</term>
</item>
</list>
</keywords>
</textClass>
</profileDesc>
<revisionDesc><change when="1997-01">Published</change>
<change xml:id="refBibs-istex" who="#ISTEX-API" when="2016-4-24">References added</change>
</revisionDesc>
</teiHeader>
</istex:fulltextTEI>
<json:item><original>false</original>
<mimetype>text/plain</mimetype>
<extension>txt</extension>
<uri>https://api.istex.fr/document/F35A91CBE1B0EBFE41825F509A3787924CB33A2D/fulltext/txt</uri>
</json:item>
</fulltext>
<metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration>
<istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Ltd.</publisherName>
<publisherLoc>Chichester, UK</publisherLoc>
</publisherInfo>
<doi registered="yes">10.1002/(ISSN)1099-1751</doi>
<issn type="print">0749-6753</issn>
<issn type="electronic">1099-1751</issn>
<idGroup><id type="product" value="HPM"></id>
</idGroup>
<titleGroup><title type="main" xml:lang="en" sort="INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, THE">The International Journal of Health Planning and Management</title>
<title type="short">Int. J. Health Plann. Mgmt.</title>
</titleGroup>
</publicationMeta>
<publicationMeta level="part" position="10"><doi origin="wiley" registered="yes">10.1002/(SICI)1099-1751(199701)12:1<>1.0.CO;2-A</doi>
<numberingGroup><numbering type="journalVolume" number="12">12</numbering>
<numbering type="journalIssue">1</numbering>
</numberingGroup>
<coverDate startDate="1997-01">January 1997</coverDate>
</publicationMeta>
<publicationMeta level="unit" type="article" position="5" status="forIssue"><doi origin="wiley" registered="yes">10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E</doi>
<idGroup><id type="unit" value="HPM451"></id>
</idGroup>
<countGroup><count type="pageTotal" number="12"></count>
</countGroup>
<titleGroup><title type="articleCategory">Research Article</title>
<title type="tocHeading1">Research Articles</title>
</titleGroup>
<copyright ownership="publisher">Copyright © 1997 John Wiley & Sons, Ltd.</copyright>
<eventGroup><event type="firstOnline" date="1998-12-04"></event>
<event type="publishedOnlineFinalForm" date="1998-12-04"></event>
<event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-02"></event>
<event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-27"></event>
<event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-04"></event>
</eventGroup>
<numberingGroup><numbering type="pageFirst">51</numbering>
<numbering type="pageLast">62</numbering>
</numberingGroup>
<correspondenceTo>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</correspondenceTo>
<linkGroup><link type="toTypesetVersion" href="file:HPM.HPM451.pdf"></link>
</linkGroup>
</publicationMeta>
<contentMeta><countGroup><count type="figureTotal" number="0"></count>
<count type="tableTotal" number="0"></count>
<count type="referenceTotal" number="43"></count>
</countGroup>
<titleGroup><title type="main" xml:lang="en">Medical guidelines: a valid and reliable management tool?</title>
<title type="short" xml:lang="en">MEDICAL GUIDELINES AS A MANAGEMENT TOOL</title>
</titleGroup>
<creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Reiner P.</givenNames>
<familyName>Hellbrück</familyName>
</personName>
</creator>
</creators>
<affiliationGroup><affiliation xml:id="af1" countryCode="DE" type="organization"><unparsedAffiliation>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</unparsedAffiliation>
</affiliation>
</affiliationGroup>
<keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">medical guidelines</keyword>
<keyword xml:id="kwd2">quality</keyword>
<keyword xml:id="kwd3">efficiency</keyword>
<keyword xml:id="kwd4">competition</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p>Medical practice guidelines are one instrument to improve either quality care or to encourage efficient health care production. To achieve these goals they have to be valid, reliable, clinically applicable, clear, and timely revised. This article checks whether current efforts to develop and establish guidelines meet these criteria. Unfortunately, it turns out that especially the compliance of the first two criteria is problematic. It is concluded that medical guidelines are, as yet, neither a scientifically sound way to improve quality care nor a ready means to improve efficient health care production. Approaches to complement these efforts are therefore discussed. © 1997 John Wiley & Sons, Ltd.</p>
</abstract>
</abstractGroup>
</contentMeta>
</header>
</component>
</istex:document>
</istex:metadataXml>
<mods version="3.6"><titleInfo lang="en"><title>Medical guidelines: a valid and reliable management tool?</title>
</titleInfo>
<titleInfo type="abbreviated" lang="en"><title>MEDICAL GUIDELINES AS A MANAGEMENT TOOL</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Medical guidelines: a valid and reliable management tool?</title>
</titleInfo>
<name type="personal"><namePart type="given">Reiner P.</namePart>
<namePart type="family">Hellbrück</namePart>
<affiliation>Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</affiliation>
<description>Correspondence: Hollergreppenstraße 6, D‐85235 Odelzhausen, Germany</description>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<typeOfResource>text</typeOfResource>
<genre type="article" displayLabel="article"></genre>
<originInfo><publisher>John Wiley & Sons, Ltd.</publisher>
<place><placeTerm type="text">Chichester, UK</placeTerm>
</place>
<dateIssued encoding="w3cdtf">1997-01</dateIssued>
<copyrightDate encoding="w3cdtf">1997</copyrightDate>
</originInfo>
<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<physicalDescription><internetMediaType>text/html</internetMediaType>
<extent unit="references">43</extent>
</physicalDescription>
<abstract lang="en">Medical practice guidelines are one instrument to improve either quality care or to encourage efficient health care production. To achieve these goals they have to be valid, reliable, clinically applicable, clear, and timely revised. This article checks whether current efforts to develop and establish guidelines meet these criteria. Unfortunately, it turns out that especially the compliance of the first two criteria is problematic. It is concluded that medical guidelines are, as yet, neither a scientifically sound way to improve quality care nor a ready means to improve efficient health care production. Approaches to complement these efforts are therefore discussed. © 1997 John Wiley & Sons, Ltd.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>medical guidelines</topic>
<topic>quality</topic>
<topic>efficiency</topic>
<topic>competition</topic>
</subject>
<relatedItem type="host"><titleInfo><title>The International Journal of Health Planning and Management</title>
</titleInfo>
<titleInfo type="abbreviated"><title>Int. J. Health Plann. Mgmt.</title>
</titleInfo>
<genre type="journal">journal</genre>
<subject><genre>article-category</genre>
<topic>Research Article</topic>
</subject>
<identifier type="ISSN">0749-6753</identifier>
<identifier type="eISSN">1099-1751</identifier>
<identifier type="DOI">10.1002/(ISSN)1099-1751</identifier>
<identifier type="PublisherID">HPM</identifier>
<part><date>1997</date>
<detail type="volume"><caption>vol.</caption>
<number>12</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>1</number>
</detail>
<extent unit="pages"><start>51</start>
<end>62</end>
<total>12</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">F35A91CBE1B0EBFE41825F509A3787924CB33A2D</identifier>
<identifier type="DOI">10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E</identifier>
<identifier type="ArticleID">HPM451</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1997 John Wiley & Sons, Ltd.</accessCondition>
<recordInfo><recordContentSource>WILEY</recordContentSource>
<recordOrigin>John Wiley & Sons, Ltd.</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/TelematiV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001170 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 001170 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= TelematiV1 |flux= Istex |étape= Corpus |type= RBID |clé= ISTEX:F35A91CBE1B0EBFE41825F509A3787924CB33A2D |texte= Medical guidelines: a valid and reliable management tool? }}
![]() | This area was generated with Dilib version V0.6.31. | ![]() |