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Related Experiment Videos

Do consensus conferences influence their participants?

A M Clarfield1, S Kogan, H Bergman

  • 1Herzog Memorial Hospital, Jerusalem, Israel.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|February 1, 1996
PubMed
Summary
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Participation in a consensus conference influenced expert opinions on dementia assessment recommendations. Experts revised their guidance for primary care physicians, often suggesting fewer tests after the conference.

Area of Science:

  • Medical research
  • Health policy
  • Clinical practice guidelines

Background:

  • Dementia assessment in primary care requires clear guidelines.
  • Consensus conferences aim to standardize medical recommendations.
  • Expert opinion is crucial for developing clinical practice guidelines.

Purpose of the Study:

  • To evaluate the impact of a consensus conference on expert recommendations for dementia assessment.
  • To determine if participation in the conference altered experts' views on diagnostic procedures for primary care physicians.

Main Methods:

  • A pre- and post-conference questionnaire survey was administered to experts.
  • 36 experts in dementia assessment participated in the Canadian Consensus Conference.
  • Participants rated the frequency of 28 diagnostic manoeuvres for dementia assessment.

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Main Results:

  • Following the conference, 64% of manoeuvres saw a shift in expert opinion towards recommending less frequent use by primary care physicians.
  • A statistically significant decrease in recommended frequency was observed for 5 blood tests and 5 "other" tests.
  • No statistically significant changes were observed for the 36% of manoeuvres where recommendations shifted towards more frequent use.

Conclusions:

  • Consensus conference participation significantly influences expert recommendations.
  • Experts are willing to modify their initial recommendations based on conference data and discussions.
  • The process of consensus building can lead to updated and potentially more appropriate clinical guidance for dementia assessment.