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[Practice guidelines in western countries].

M Sasako1, T Sano, H Katai

  • 1Dept. of Surgery, National Cancer Center Hospital.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|May 11, 1999
PubMed
Summary
This summary is machine-generated.

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Clinical practice guidelines emerged in the 1960s to control rising US medical costs. They ensure quality care through evidence-based recommendations, impacting patient autonomy, information access, and legal considerations.

Area of Science:

  • Health Policy
  • Medical Economics
  • Evidence-Based Medicine

Context:

  • Clinical practice guidelines originated in the 1960s US to curb escalating healthcare costs.
  • Their adoption was influenced by increased patient autonomy, the need to manage vast medical information, and rising medical litigation risks.
  • Societies face continuous demand for efficient resource allocation in healthcare.

Purpose:

  • To rationalize medical practices and reduce costs without compromising care quality.
  • To provide a framework for medical decision-making based on scientific evidence and certainty.
  • To address legal implications and resource management in healthcare.

Summary:

  • Guidelines are developed through intensive literature reviews to generate evidence-based recommendations (EBR).

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  • These EBR are ratified and modified by clinicians, reviewed by independent experts, and finalized with an expiry date.
  • While not formally adopted in Europe, the principle of evidence-based practice is valued, with socialist countries emphasizing resource control.
  • Impact:

    • Guidelines influence medical practice, legal proceedings, and the effective use of social resources.
    • They promote standardized, evidence-based care, potentially reducing unwarranted variations in practice.
    • The development and application of guidelines are crucial for modern healthcare systems globally.