Practice guidelines and standards: an overview.

摘要: Organized medicine, insurance companies, regulators, and the peer review organizations are all interested in practice guidelines. Recently, U.S. Congress established Agency for Health Care Policy Research, which is charged with overseeing development of If properly developed, disseminated, used, guidelines should reduce incidence inappropriate care help control costs. Although have been used by physicians years, now being developed be more comprehensive, specific, exhaustive, and--on basis best scientific evidence effectiveness expert opinion--more effectively discriminate between useful useless care. Practice can improve quality when voluntarily practice, as standards monitoring assurance programs, reimbursement services. All parties share responsibilities research, development, production appropriateness criteria, their translation into standards, dissemination maintenance guidelines, including evaluation, revision, updating.