title: Evidence-based guidelines as a foundation for performance incentives.
abstract: Clinical guidelines, which increasingly build upon impartial analysis of evidence from well-designed studies, have become highly credible sources of information about what forms of care are effective. Consequently, they are attractive as foundations for performance incentives. Unfortunately, they are often complex, and frequently it is infeasible to gather the information required to assess compliance with guidelines at reasonable cost. I discuss the problems in implementing evidence-based guidelines and steps that could be taken to make them more useful as a basis for performance measurement.
authors.affiliation: Department of Veterans Affairs (VA) Palo Alto Health Care System, USA. garber@stanford.edu
authors.forename: Alan M
authors.initials: AM
authors.lastname: Garber
mesh_terms: D003365:Costs and Cost Analysis; D019317:Evidence-Based Medicine; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D012941:Social Responsibility; D014481:United States