title: [Clinical practice guidelines in Germany, 1994 to 2004. From guideline methodology towards guideline implementation].
abstract: The role of clinical practice guidelines (CPG) as a tool for continuous medical education (CME), and quality management in health care is now widely accepted in Germany. Since the 90ies, the physicians' professional associations as well as health care authorities and parliament have been introducing several incentives and regulations in order to promote the use of evidence based CPG. In the past German CPG agencies have been focussing their work on developing and optimising methodological CPG standards. Future CPG activities should address much more other key factors for the success of CPGs, such as medical relevance, practicability, effective dissemination, and implementation. The article describes the process of guideline adaptation by regional physician audit groups as a tool for CPG implementation.
authors.affiliation: Arztliches Zentrum für Qualität in der Medizin AZQ, Berlin. go@azq.de
authors.forename: Gunter
authors.initials: G
authors.lastname: Ollenschläger
authors.forename: Christian
authors.initials: C
authors.lastname: Thomeczek
authors.forename: Frank
authors.initials: F
authors.lastname: Thalau
authors.forename: Lothar
authors.initials: L
authors.lastname: Heymans
authors.forename: Henning
authors.initials: H
authors.lastname: Thole
authors.forename: Henrike
authors.initials: H
authors.lastname: Trapp
authors.forename: Sylvia
authors.initials: S
authors.lastname: Sänger
authors.forename: Monika
authors.initials: M
authors.lastname: Lelgemann
mesh_terms: D004502:Education, Medical, Continuing; D005858:Germany; D008485:Medical Audit; D017410:Practice Guidelines as Topic / Q000592:standards*; D012955:Societies, Medical