Developing guidelines for local use: algorithms for cost-efficient outpatient management of cardiovascular disorders in a VA Medical Center.
Local use of practice guidelines requires paying close attention to the concerns of the patient within the framework of society, to the professional and educational needs of the provider, and to the realities of cost. One Veterans Affairs facility took the challenge of balancing these factors and developed their own algorithms for three cardiovascular disorders.
Aucott
J N
JN
Medical Service, Veterans Affairs Medical Center, Cleveland, OH 44106.
Taylor
A L
AL
Wright
J T
JT
Ganz
M B
MB
Landefeld
C S
CS
Pelecanos
E I
EI
Carrol
A M
AM
Dombrowski
R C
RC
van Why
K J
KJ
Lederman
R
R
D000465:Algorithms; D000553:Ambulatory Care / Q000592:standards*; D000787:Angina Pectoris / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000401:mortality; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000191:economics / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000191:economics / Q000627:therapeutic use; D003362:Cost-Benefit Analysis; D016527:Drug Costs; D006333:Heart Failure / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000401:mortality; D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000401:mortality; D009820:Ohio; D017410:Practice Guidelines as Topic; D016730:Program Development
D000806:Angiotensin-Converting Enzyme Inhibitors; D002121:Calcium Channel Blockers