[Guidelines in historical perspective]
Jannes J E van Everdingen1,2, Bernd W M Arents1, Wynanda A van Enst1
1Nederlandse Vereniging voor Dermatologie en Venereologie, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|October 27, 2022
Summary
Clinical practice guidelines have evolved significantly, presenting both benefits and drawbacks. Future improvements require international collaboration on new technologies and national policy coherence for an integrated approach.
Area of Science:
- Health Policy
- Medical Informatics
- Evidence-Based Medicine
Context:
- Clinical practice guidelines have undergone significant evolution over the past 50 years.
- International developments, including expanding evidence and evolving methodologies, present challenges.
- Current approaches to clinical practice guidelines may be reaching their limits.
Purpose:
- To analyze the evolving role and limitations of clinical practice guidelines.
- To propose a renewed vision for the future development and implementation of guidelines.
- To address the need for both international and national advancements.
Summary:
- Guidelines offer benefits but also have disadvantages.
- International advancements, such as artificial intelligence (AI) and new methodologies, are crucial.
- National efforts must focus on a coherent approach across medical disciplines, government policies, regulators, and health insurers.
Impact:
- A call for a renewed, integral, and all-encompassing vision for clinical practice guidelines.
- Potential for improved healthcare delivery through more cohesive and technologically advanced guidelines.
- Enhanced integration of evidence, policy, and technology in medical practice.
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