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Why all clinical guideline recommendations are 'Conditional'
Peter C Wyer1, John Gabbay2, Edward H Suh1
1Department of Emergency Medicine Columbia University New York New York USA.
Abstract:
The impact of clinical guidelines on practitioner behaviour and clinical care remains in doubt.The acceptability of a 5- or 10-year delay in producing a 'strong' clinically important recommendation is unlikely to hold.Practitioners think holistically, in contrast to the analytical thinking that characterizes clinical research.Rapidly accessible, flexible, 'knowledge-in-practice-in-context' cannot be simply replaced by a focused piece of new research or guideline.
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