Digitalia
Advanced Search
Clinical Practice Guidelines

Clinical Practice Guidelines

Directions for a New Program

  • Author: Lohr, Kathleen N.; Field, Marilyn J.
  • Publisher: National Academies Press
  • ISBN: 9780309043465
  • eISBN Pdf: 9780309560016
  • Place of publication:  United States
  • Year of digital publication: 1990
  • Month: January
  • Pages: 169
  • Language: English
  • Clinical Practice Guidelines
  • Copyright
  • Acknowledgments
  • Contents
  • Summary
    • CONTEXT
    • OVERVIEW OF PRACTICE GUIDELINES INITIATIVES
      • Public Initiatives
      • Private Initiatives
    • INSTITUTE OF MEDICINE COMMITTEE AND PROJECT
    • FINDINGS AND CONCLUSIONS
      • State of the Art
      • Ahcpr and the Forum
      • Roles of Public and Private Sectors
    • RECOMMENDATIONS: DEFINITIONS
    • RECOMMENDATIONS: ATTRIBUTES OF GOOD GUIDELINES
    • RECOMMENDATIONS: IMPLEMENTATION AND EVALUATION
    • DIVERSITY IN CLINICAL PRACTICES AND GUIDELINES
    • EXPECTATIONS FOR PRACTICE GUIDELINES
    • NEXT STEPS FOR THE INSTITUTE OF MEDICINE
    • FINAL COMMENT
  • 1 Introduction and Background
    • CONTEXT
    • OVERVIEW OF PRACTICE GUIDELINES INITIATIVES
      • Public Initiatives
      • Private Initiatives
    • SPECIFIC RESPONSIBILITIES OF AHCPR
      • Deadlines and Priorities
      • Development Procedures and Requirements
      • Dissemination
      • Use of Guidelines
      • Evaluation and Further Research
    • THE INSTITUTE OF MEDICINE COMMITTEE AND PROJECT
    • OVERVIEW OF THE REPORT
    • CONCLUSIONS AND CAUTIONARY NOTES
    • REFERENCES
  • 2 Definitions of Key Terms
    • THE COMMITTEE'S APPROACH
    • PRACTICE GUIDELINES
      • Common Usage: The Dictionary
      • Professional and Technical Usage
      • The Committee's Definition: Practice Guideline
        • Guidelines and the Strength of Evidence
        • Relation of Guidelines to Review Criteria and Other Evaluation Tools
        • Definition of Appropriate Care
        • Guidelines and Costs
    • EVALUATION INSTRUMENTS
    • MEDICAL REVIEW CRITERIA
      • Common Usage: The Dictionary
      • Professional and Technical Usage
      • The Committee's Definition: Medical Review Criteria
    • STANDARDS OF QUALITY
      • Common Usage: The Dictionary
      • Professional and Technical Usage
      • The Committee's Definition: Standards of Quality
    • PERFORMANCE MEASURES
      • Common Usage: The Dictionary
      • Professional and Technical Usage
      • The Committee's Provisional Definition: Performance Measures
    • CONCLUSIONS AND SUMMARY
    • REFERENCES
  • 3 Attributes of Good Practice Guidelines
    • BACKGROUND AND TERMINOLOGY
    • WORKING ASSUMPTIONS
    • PRINCIPLES
    • PAST WORK ON DEFINING ATTRIBUTES
    • ATTRIBUTES FOR ASSESSING PRACTICE GUIDELINES: OVERVIEW
    • VALIDITY
      • Projected Health Outcomes
      • Projected Costs
      • Relationship Between the Evidence and the Guidelines
      • Preference for Empirical Evidence Over Expert Judgement
      • Thorough Literature Review
      • Methods Used to Evaluate the Scientific Literature
      • Strength of Evidence
      • Use of Expert Judgment
      • Strength of Expert Consensus
      • Independent Review
      • Pretesting
    • RELIABILITY/REPRODUCIBILITY
    • CLINICAL APPLICABILITY
    • CLINICAL FLEXIBILITY
    • CLARITY
    • MULTIDISCIPLINARY PROCESS
    • SCHEDULED REVIEW
    • DOCUMENTATION
    • CONCLUSION
    • REFERENCES
  • 4 Implementation and Evaluation
    • TYPES OF IMPLEMENTATION
      • Program Implementation
      • Guidelines Implementation
        • Government Responsibilities for Implementing Guidelines
        • Roles of Other Organizations in Implementing Guidelines
    • LINKS BETWEEN DEVELOPMENT AND IMPLEMENTATION STAGES
    • PLANNING FOR IMPLEMENTATION
    • ELEMENTS OF IMPLEMENTATION
      • Formatting
      • Dissemination
      • Application and Administration of Guidelines
        • Provider Organizations
        • Review Organizations
        • Other Organizations
      • Updating and Revising
    • EVALUATION OF GUIDELINES
    • CONCLUSION
    • REFERENCES
  • 5 Conclusions and Recommendations
    • FINDINGS AND CONCLUSIONS
      • State of the Art
      • Ahcpr and the Forum
      • Roles of Public and Private Sectors
    • RECOMMENDATIONS: DEFINITIONS
    • RECOMMENDATIONS: ATTRIBUTES OF GOOD GUIDELINES
    • RECOMMENDATIONS: IMPLEMENTATION AND EVALUATION
    • DIVERSITY IN CLINICAL PRACTICES AND GUIDELINES
    • CONCLUDING COMMENTS
  • Appendix A The Omnibus Budget Reconciliation Act of 1989
  • Appendix B Examples of Practice Guidelines
    • EXAMPLE 1 REPORT OF THE U.S. PREVENTIVE SERVICES TASK FORCE
      • Screening for Breast Cancer
        • Burden of Suffering
        • Efficacy of Screening Tests
        • Effectiveness of Early Detection
        • Recommendations of Others
        • Discussion
        • Clinical Intervention
    • REFERENCES
    • EXAMPLE 2 AMERICAN COLLEGE OF PHYSICIANS
      • Screening for Breast Cancer
        • American College of Physicians
    • EXAMPLE 3 GROUP HEALTH COOPERATIVE OF PUGET SOUND, INC.
      • Screening for Breast Cancer
    • EXAMPLE 4 HARVARD COMMUNITY HEALTH PLAN
      • Dysuria Algorithm
        • Acute Dysuria in the Adult Female
  • Appendix C Next Steps for the Institute of Medicine
  • Appendix D Biographies of Committee Members

Subjects

Back
Login to your account

Viewers online

  • Text
  • ReadSpeaker Audio

Download options

  • Adobe DRM Adobe DRM
  • Loan duration: 21 days
  • Format: PDF

SUBSCRIBE TO OUR NEWSLETTER

By subscribing, you accept our Privacy Policy

©2021 - 2025 Digitalia - All rights reserved