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The emergence of clinical practice guidelines
George Weisz1, Alberto Cambrosio, Peter Keating
1McGill University,Montreal, Quebec, Canada. george.weisz@mcgill.ca
The Milbank Quarterly
|December 12, 2007
Summary
Clinical practice guidelines emerged due to a convergence of factors, representing a new regulation of medical care. This shift involved standardizing medical procedures, not just professional credentials.
Area of Science:
- Medical Sociology
- Health Policy Analysis
- History of Medicine
Background:
- Clinical practice guidelines are widespread in modern healthcare.
- Existing explanations for their rise focus on cost-cutting or professional autonomy.
- This article offers an alternative perspective on guideline emergence.
Observation:
- The proliferation of guidelines signifies a novel form of medical care regulation.
- This regulation stems from a confluence of circumstances involving diverse stakeholders.
- Quality regulation has evolved from credential standardization to procedural standardization since the 1960s.
Findings:
- The spread of guidelines is linked to broader trends of standardization in medicine.
- Standardization efforts are evident in medical research, public health, and healthcare organizations.
- This shift reflects a move towards standardizing the application of medical procedures.
Implications:
- Understanding the multifaceted origins of clinical guidelines is crucial for effective healthcare policy.
- The trend towards procedural standardization impacts clinical decision-making and patient outcomes.
- Future research should explore the long-term effects of this regulatory evolution on medical practice.
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