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International Nursing Organizations I01:23

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International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
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National Institute for Clinical Excellence: NICE works.

Michael D Rawlins1

  • 1Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK michael.rawlins@nice.org.uk.

Journal of the Royal Society of Medicine
|June 19, 2015
PubMed
Summary

The National Institute for Clinical Excellence (NICE) successfully navigated its early years by focusing on clinical and cost-effectiveness in its guidance. Its ability to gain professional trust contributed to its growth and survival.

Keywords:
National Institute for Health and Care Excellenceclinical guidelinescost effectivenesstechnology appraisals

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Area of Science:

  • Health Services Research
  • Health Economics
  • Public Health Policy

Background:

  • The National Institute for Clinical Excellence (NICE) was established in 1999.
  • Its initial role involved technology appraisals and clinical guideline development for the National Health Service (NHS).
  • NICE was mandated to consider both clinical and cost-effectiveness in its assessments.

Purpose of the Study:

  • To describe the early years of NICE.
  • To identify features of NICE's guidance programs that contributed to its success.
  • To reflect on potential alternative approaches or improvements in retrospect.

Main Methods:

  • Historical review of NICE's establishment and early operations.
  • Analysis of the characteristics of NICE's guidance development process.
  • Author's retrospective evaluation of NICE's performance and decision-making.

Main Results:

  • NICE overcame initial challenges to gain professional confidence and trust.
  • The institute experienced growth in responsibilities, staffing, and budget.
  • NICE is unique among its contemporaries for its sustained survival and expansion.

Conclusions:

  • NICE's focus on evidence-based guidance considering clinical and cost-effectiveness was key to its success.
  • Gaining the trust of healthcare professionals was crucial for its integration and acceptance.
  • The paper offers insights into factors driving the success of health technology assessment bodies.