04986nam 2200649Ia 450 991077850820332120230421033158.01-280-20349-897866102034990-309-53794-00-585-03021-9(CKB)110986584751114(EBL)3376810(SSID)ssj0000166523(PQKBManifestationID)11164882(PQKBTitleCode)TC0000166523(PQKBWorkID)10161831(PQKB)11463121(MiAaPQ)EBC3376810(Au-PeEL)EBL3376810(CaPaEBR)ebr10060377(CaONFJC)MIL20349(OCoLC)923266253(EXLCZ)9911098658475111419920313d1992 uy 0engur|n|---|||||txtccrGuidelines for clinical practice[electronic resource] from development to use /Marilyn J. Field and Kathleen N. Lohr, editors ; Committee on Clinical Practice Guidelines, Division of Health Care Services, Institute of MedicineWashington, D.C. National Academy Press19921 online resource (440 p.)Description based upon print version of record.0-309-04589-4 Includes bibliographical references and index.""Guidelines for Clinical Practice""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""Guidelines for Clinical Practice""; ""Summary""; ""WHAT ARE PRACTICE GUIDELINES?""; ""WHY ARE POLICY MAKERS INTERESTED IN GUIDELINES?""; ""GENERAL STRENGTHS AND WEAKNESSES OF CURRENT PRACTICE GUIDELINES ACTIVITIES""; ""What Are the Strong Points of Current Efforts?""; ""What Are the Limitations of Current Efforts?""; ""IMPROVING THE DEVELOPMENT OF GUIDELINES""; ""Building a Compelling Case for Recommendations""; ""Procedural and Methodological Issues Needing Particular Attention""""At the Interface Between Development and Use""""Local Adaptation of Guidelines""; ""Inconsistent Guidelines""; ""Formatting and Disseminating Guidelines""; ""Going Further? Defining Cost-Effective and Minimum Levels of Care""; ""Doing More? Guidelines for Informed Patient Decision making""; ""ENSURING THE USE OF GOOD GUIDELINES""; ""Quality Assurance and Improvement""; ""Cost Management""; ""Risk Management and Medical Liability""; ""Information and Decision Support Systems""; ""A CRITICAL NEED: MEANS TO ASSESS THE SOUNDNESS OF GUIDELINES""; ""Assessment Instrument""""Assessment Organization""""RESEARCH AGENDA""; ""FINAL NOTE: GUIDELINES AND HEALTH CARE REFORM""; ""1 Introduction ""; ""PURPOSE OF THE REPORT""; ""WHAT ARE PRACTICE GUIDELINES?""; ""Definitions of Key Terms""; ""Desirable Attributes of Guidelines""; ""Elements of Analysis""; ""State of the Evidence""; ""Inconsistent or Conflicting Guidelines""; ""Types of Guidelines""; ""WHY ARE POLICY MAKERS INTERESTED IN GUIDELINES?""; ""WHO USES GUIDELINES AND FOR WHAT?""; ""BASIC PROPOSITIONS""; ""REPORT ORGANIZATION""; ""SUMMARY""; ""2 Developing Clinical Practice Guidelines """"PLURALISM AND DIVERSITY IN GUIDELINES DEVELOPMENT""""PROFESSIONAL SOCIETIES AND RELATED ENTITIES""; ""How Are Professional Societies Involved?""; ""Why Are Professional Societies Involved?""; ""PUBLIC AGENCIES""; ""U.S. Public Health Service""; ""Food and Drug Administration""; ""National Institutes of Health""; ""Centers for Disease Control""; ""Agency for Health Care Policy and Research""; ""Other Public Agencies""; ""Health Care Financing Administration""; ""U.S. Preventive Services Task Force""; ""Congressional Office of Technology Assessment""""PRIVATE RESEARCH, PAYER, PROVIDER, AND OTHER GROUPS""""COSTS OF GUIDELINES DEVELOPMENT""; ""SUMMARY""; ""3 Implementing Guidelines: Overview and Illustrative Cases ""; ""GUIDELINES AND THE REAL WORLD""; ""CASE STUDIES""; ""Case Study 1: Small Internal Medicine Practice""; ""Case Study 2: Managed Care Organization""; ""Case Study 3: Academic Medical Center Hospital""; ""Case Study 4: Community Hospital""; ""Case Study 5: Nursing Home and Hospice""; ""Case Study 6: Patient""; ""GENERAL ISSUES IN IMPLEMENTATION""; ""Factors Influencing the Effective Use of Guidelines""""Strategies to Encourage Effective Use of Guidelines""Medical careStandardsUnited StatesPhysician services utilizationMedical careStandardsPhysician services utilization.362.1/021873Field Marilyn J(Marilyn Jane)1477341Lohr Kathleen N.1941-1506302Institute of Medicine (U.S.).Committee on Clinical Practice Guidelines.MiAaPQMiAaPQMiAaPQBOOK9910778508203321Guidelines for clinical practice3805767UNINA