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.
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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.
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DOI: 10.1002/(SICI)1099-1751(199701)12:1<51::AID-HPM451>3.0.CO;2-E
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