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A consensus-based approach to practice parameters.

C I Meeker1

  • 1Maine Medical Center, Portland.

Obstetrics and Gynecology
|May 1, 1992
PubMed
Summary
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Clinical practice guidelines offer patient management strategies but raise concerns about standardization and physician autonomy. Ensuring guideline validity and credibility is crucial for effective healthcare delivery.

Area of Science:

  • Clinical practice guidelines
  • Healthcare management
  • Medical decision-making

Background:

  • Practice parameters guide patient care, with varying specificity and purpose.
  • Key considerations include medicolegal aspects, cost, and quality of care.
  • Physician concerns involve "cookbook" medicine, patient variability, and guideline currency.

Purpose of the Study:

  • To explore the multifaceted nature of clinical practice guidelines.
  • To address physician concerns regarding guideline implementation.
  • To highlight the importance of validity, credibility, and flexibility in guidelines.

Main Methods:

  • Focus on the consensus-based approach for guideline development.
  • Utilized a four-tiered system of peer review.

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  • Emphasized the importance of flexibility in clinical practice guidelines.

    • Main Results:

    • Guidelines address medicolegal, cost, and quality of care issues.
    • Physician concerns regarding standardization and patient variability are acknowledged.
    • A consensus-based approach with peer review enhances guideline credibility.

    Conclusions:

    • Practice parameters are essential for patient management but require careful development.
    • Validity, credibility, and flexibility are paramount for useful clinical guidelines.
    • The consensus-based approach, including peer review, supports robust guideline creation.