Testing the Implementation of Clinical Guidelines

摘要: come achieved eventually led many to call for national efforts employ professional education in addition financial incentives promote more cost-effective practice.2 Unfortunately, it was not at all clear which clinical approaches merited advocacy. Less than 20 percent of commonly accepted modalities had been demonstrated be efficacious with a randomized controlled trial (RCT).3 Because the cost performing an RCT remaining tests, procedures, and medicines now use would prohibitive, observational designs were promoted as acceptable alternative providing physicians information urgently needed guide their practice.4 Consequently, Agency Health Care Policy Research (AHCPR) established December 1989 charged responsibility conduct such "outcome research," development guidelines based on findings outcome research, dissemination health care community, evaluation effects