05741nam 2200757Ia 450 991097103570332120251017110051.09786610203499978128020349712802034989780309537940030953794097805850302100585030219(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(Perlego)4735538(DNLM)711182(BIP)678128(EXLCZ)9911098658475111419920313d1992 uy 0engur|n|---|||||txtccrGuidelines for clinical practice from development to use /Marilyn J. Field and Kathleen N. Lohr, editors ; Committee on Clinical Practice Guidelines, Division of Health Care Services, Institute of Medicine1st ed.Washington, D.C. National Academy Press19921 online resource (440 p.)Description based upon print version of record.9780309045896 0309045894 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""This report of an Institute of Medicine study presents a balanced view of guidelines--their strengths, their limitations, and how they can be more effectively used to benefit health care. It offers recommendations and a proposed framework for strengthening the development and use of guidelines, numerous illustrations of guidelines, a ready-to-use instrument for assessing the soundness of guidelines, and six case studies exploring issues involved in the day-to-day use of guidelines. Annotation copyrighted by Book News, Inc., Portland, ORMedical careStandardsUnited StatesPhysician services utilizationMedical careStandardsPhysician services utilization.362.1/021873Field Marilyn J(Marilyn Jane)1804195Lohr Kathleen N.1941-1806075Institute of Medicine (U.S.).Committee on Clinical Practice Guidelines.MiAaPQMiAaPQMiAaPQBOOK9910971035703321Guidelines for clinical practice4364799UNINA