title: Developing guidelines for local use: algorithms for cost-efficient outpatient management of cardiovascular disorders in a VA Medical Center.
abstract: 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.
authors.affiliation: Medical Service, Veterans Affairs Medical Center, Cleveland, OH 44106.
authors.forename: J N
authors.initials: JN
authors.lastname: Aucott
authors.forename: A L
authors.initials: AL
authors.lastname: Taylor
authors.forename: J T
authors.initials: JT
authors.lastname: Wright
authors.forename: M B
authors.initials: MB
authors.lastname: Ganz
authors.forename: C S
authors.initials: CS
authors.lastname: Landefeld
authors.forename: E I
authors.initials: EI
authors.lastname: Pelecanos
authors.forename: A M
authors.initials: AM
authors.lastname: Carrol
authors.forename: R C
authors.initials: RC
authors.lastname: Dombrowski
authors.forename: K J
authors.initials: KJ
authors.lastname: van Why
authors.forename: R
authors.initials: R
authors.lastname: Lederman
mesh_terms: 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
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D002121:Calcium Channel Blockers