Clinical practice guidelines: promise or illusion?
The uncertainties about appropriateness and rates of use are unfolding against the backdrop of rising costs and an explosion in new biomedical and technological information. Achieving consensus in this environment is increasingly difficult as payers demand proof of effectiveness, consumers want access to the newest technology, and physicians struggle to assimilate new information. The net result is a drive toward practice standards or guidelines.
Geehr
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EC
Albany Medical Center, NY.
Salluzzo
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RF
D002985:Clinical Protocols; D006302:Health Services Research / Q000458:organization & administration*; D010818:Practice Patterns, Physicians'; D011787:Quality of Health Care; D014481:United States