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The ethics of practice guidelines

J T Berger1, F Rosner

  • 1Winthrop-University Hospital, Mineola, NY 11501, USA.

Archives of Internal Medicine
|October 14, 1996
PubMed
Summary
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Practice guidelines aid clinicians but their development and validity are often untested. Misuse can occur when nonmedical values influence healthcare decisions, raising ethical concerns.

Area of Science:

  • Medical Ethics
  • Health Policy

Background:

  • Practice guidelines are traditional tools for clinicians, aiding medical decision-making and care quality.
  • Development is expanding beyond physicians, with aims to reduce costs and liability.
  • Despite widespread use, guideline development and validity are inconsistently tested.

Purpose of the Study:

  • To critically analyze the clinical and nonclinical applications of practice guidelines.
  • To examine the ethical implications surrounding the development and use of medical guidelines.

Main Methods:

  • Review of existing literature on practice guideline development and ethical considerations.
  • Analysis of the potential for misuse of guidelines in healthcare settings.

Main Results:

Keywords:
Health Care and Public HealthProfessional Patient Relationship

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  • Practice guidelines are not inherently unethical.
  • Variable development and untested validity pose challenges.
  • Nonmedical values and healthcare pressures can lead to guideline misuse.

Conclusions:

  • Critical analysis of guideline applications is necessary.
  • Ethical oversight is crucial to prevent misuse of practice guidelines in clinical settings.