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Clinical Practice Guidelines

Clinical Practice Guidelines

Directions for a New Program

  • Autor: Lohr, Kathleen N.; Field, Marilyn J.
  • Editor: National Academies Press
  • ISBN: 9780309043465
  • eISBN Pdf: 9780309560016
  • Lugar de publicación:  Estados Unidos
  • Año de publicación digital: 1990
  • Mes: Enero
  • Páginas: 169
  • Idioma: Ingles
  • Cover
  • Front Matter
  • Summary
  • CONTEXT
  • Public Initiatives
  • Private Initiatives
  • State of the Art
  • 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
  • Evaluation and Further Research
  • OVERVIEW OF THE REPORT
  • CONCLUSIONS AND CAUTIONARY NOTES
  • REFERENCES
  • 2 Definitions of Key Terms
  • THE COMMITTEE'S APPROACH
  • Professional and Technical Usage
  • The Committee's Definition: Practice Guideline
  • Relation of Guidelines to Review Criteria and Other Evaluation Tools
  • Definition of Appropriate Care
  • EVALUATION INSTRUMENTS
  • Common Usage: The Dictionary
  • Professional and Technical Usage
  • The Committee's Definition: Medical Review Criteria
  • Common Usage: The Dictionary
  • Professional and Technical Usage
  • The Committee's Definition: Standards of Quality
  • Professional and Technical Usage
  • 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
  • Preference for Empirical Evidence Over Expert Judgement
  • Methods Used to Evaluate the Scientific Literature
  • Use of Expert Judgment
  • Independent Review
  • RELIABILITY/REPRODUCIBILITY
  • CLINICAL APPLICABILITY
  • CLARITY
  • MULTIDISCIPLINARY PROCESS
  • SCHEDULED REVIEW
  • DOCUMENTATION
  • CONCLUSION
  • REFERENCES
  • 4 Implementation and Evaluation
  • Program Implementation
  • Government Responsibilities for Implementing Guidelines
  • LINKS BETWEEN DEVELOPMENT AND IMPLEMENTATION STAGES
  • PLANNING FOR IMPLEMENTATION
  • Formatting
  • Dissemination
  • Application and Administration of Guidelines
  • Review Organizations
  • Other Organizations
  • Updating and Revising
  • EVALUATION OF GUIDELINES
  • CONCLUSION
  • REFERENCES
  • 5 Conclusions and Recommendations
  • 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
  • Screening for Breast Cancer
  • Burden of Suffering
  • Efficacy of Screening Tests
  • Effectiveness of Early Detection
  • Recommendations of Others
  • Discussion
  • REFERENCES
  • Screening for Breast Cancer
  • American College of Physicians
  • Screening for Breast Cancer
  • Dysuria Algorithm
  • Acute Dysuria in the Adult Female
  • Appendix C Next Steps for the Institute of Medicine
  • Appendix D Biographies of Committee Members

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  • Tiempo préstamo: 21 días
  • Formato: PDF

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