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Clinical guidelines: quality and implementation
1Finnish Office for Health Technology Assessment, National Research and Development Centre for Welfare and Health, Helsinki, Finland. marjukka.makela@stakes.fi
Abstract:
So far 60 evidence-based clinical guidelines have been developed in Finland. These are no binding rules, but they require interpretation for specific patients, and patient preferences are to be observed. For high-quality guidelines, surrogate markers must be avoided, evidence must be systematically searched for and presented, and local context has to be taken into account. The AGREE (Appraisal of Guideline Research & Evaluation) instrument for evaluation of guidelines is presented. Research on implementation and continuous evaluation of guideline effects are needed.
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