Physician compliance with outcome-based guidelines and clinical pathways in oncology

Outcome-based guidelines and clinical pathways in oncology were developed, implemented, and evaluated in two open-staffed community hospitals in California. These guidelines and paths were instituted in both the ambulatory and in-patient setting. Evaluation demonstrated a positive impact of these tools on outcomes and a corresponding reduction in costs. The success of a program of guidelines and clinical paths is contingent on a number of factors; however, the key to success is the meaningful involvement of physicians. Suggestions for ensuring this physician collaboration, based on our experience, are detailed.