作者: Michelle Mancher , Dianne Miller Wolman , Sheldon Greenfield , Robin Graham , Earl Steinberg
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摘要: Advances in medical, biomedical and health services research have reduced the level of uncertainty clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards care backed strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These informed a systematic review evidence an assessment benefits costs alternative options. Practice Guidelines We Can Trust examines current state how they can be improved enhance healthcare quality outcomes. now ubiquitous our system. The International Network (GIN) database currently lists more than 3,700 from 39 countries. Developing presents number challenges including lack transparent methodological practices, difficulty reconciling conflicting guidelines, conflicts interest. explores questions surrounding CPG development processes establishment standards. It proposes eight for developing trustworthy emphasizing transparency; management conflict interest; review--guideline intersection; foundations rating strength guideline recommendations; articulation external review; updating. shows clinician decision-making translating complex findings into relevant individual encounter, instead implementing one size fits all approach This book contains information directly related work Agency Healthcare Research Quality (AHRQ), as well various Congressional staff policymakers. is vital resource medical specialty societies, disease advocacy groups, professionals, private international organizations develop or use consumers, clinicians, payers.