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Current trends in guideline development: a cause for concern

R G Stephens1, S L Kogon, R N Bohay

  • 1Division of Oral Medicine and Radiology, Faculty of Dentistry, University of Western Ontario.

Journal (Canadian Dental Association)
|February 1, 1996
PubMed
Summary
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Developing effective practice guidelines requires practitioner involvement and a strong scientific foundation. Current methods show promise but need refinement for true impact on patient care and professional acceptance.

Area of Science:

  • Health professions education
  • Clinical practice guidelines
  • Evidence-based dentistry

Background:

  • Practice-related guidelines have a long history in health professions but limited success in changing practice.
  • Past failures stem from excluding practitioners and lacking scientific basis.

Purpose of the Study:

  • To analyze the shortcomings of traditional guideline development.
  • To outline current, improved methodologies for guideline creation.
  • To discuss the critical role of professional organizations in developing credible guidelines.

Main Methods:

  • Review of historical and current guideline development processes.
  • Analysis of factors contributing to guideline acceptance and effectiveness.
  • Discussion of the scientific basis required for practice standards.

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Main Results:

  • Traditional guideline development was often mistrusted and ineffective due to exclusion and weak scientific underpinnings.
  • Newer methods emphasize critical data analysis and professional organization involvement.
  • Concerns remain about the recognition of new methods and the need for inclusive processes.

Conclusions:

  • Credible guidelines require practitioner inclusion and a robust scientific basis.
  • Professional societies and educators must lead in developing effective guidelines.
  • Guidelines should serve as credible aids for improving patient care, not merely as standards.