LEADER 05741nam 2200757Ia 450 001 9910971035703321 005 20251017110051.0 010 $a9786610203499 010 $a9781280203497 010 $a1280203498 010 $a9780309537940 010 $a0309537940 010 $a9780585030210 010 $a0585030219 035 $a(CKB)110986584751114 035 $a(EBL)3376810 035 $a(SSID)ssj0000166523 035 $a(PQKBManifestationID)11164882 035 $a(PQKBTitleCode)TC0000166523 035 $a(PQKBWorkID)10161831 035 $a(PQKB)11463121 035 $a(MiAaPQ)EBC3376810 035 $a(Au-PeEL)EBL3376810 035 $a(CaPaEBR)ebr10060377 035 $a(CaONFJC)MIL20349 035 $a(OCoLC)923266253 035 $a(Perlego)4735538 035 $a(DNLM)711182 035 $a(BIP)678128 035 $a(EXLCZ)99110986584751114 100 $a19920313d1992 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aGuidelines for clinical practice $efrom development to use /$fMarilyn J. Field and Kathleen N. Lohr, editors ; Committee on Clinical Practice Guidelines, Division of Health Care Services, Institute of Medicine 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1992 215 $a1 online resource (440 p.) 300 $aDescription based upon print version of record. 311 08$a9780309045896 311 08$a0309045894 320 $aIncludes bibliographical references and index. 327 $a""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"" 327 $a""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"" 327 $a""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 "" 327 $a""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"" 327 $a""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"" 327 $a""Strategies to Encourage Effective Use of Guidelines"" 330 $aThis 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, OR 606 $aMedical care$xStandards$zUnited States 606 $aPhysician services utilization 615 0$aMedical care$xStandards 615 0$aPhysician services utilization. 676 $a362.1/021873 701 $aField$b Marilyn J$g(Marilyn Jane)$01804195 701 $aLohr$b Kathleen N.$f1941-$01806075 712 02$aInstitute of Medicine (U.S.).$bCommittee on Clinical Practice Guidelines. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910971035703321 996 $aGuidelines for clinical practice$94364799 997 $aUNINA