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Practice protocols, parameters, pathways, and guidelines: a review

L Citrome1

  • 1Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY 10962, USA.

Administration and Policy in Mental Health
|September 4, 1998
PubMed
Summary
This summary is machine-generated.

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Clinical practice protocols evolved from utilization management, facing physician barriers. Research is needed on their cost and quality impact, with over 1,800 guidelines now available.

Area of Science:

  • Health Services Research
  • Medical Informatics
  • Healthcare Policy

Background:

  • Clinical practice protocols originated from utilization review and management strategies.
  • Physician adoption of protocols faces significant concerns and implementation barriers.
  • The Agency for Health Care Policy and Research (AHCPR) played a role in guideline development.

Purpose of the Study:

  • To describe the evolution of clinical practice protocols.
  • To analyze physician concerns and implementation barriers.
  • To review the literature on cost savings associated with utilization management and clinical guidelines.

Main Methods:

  • Historical review of clinical practice protocol development.
  • Analysis of physician-reported barriers to implementation.

Related Experiment Videos

  • Literature synthesis of studies on cost savings and guideline impact.

    • Main Results:

    • Over 1,800 medical practice guidelines are now catalogued, indicating widespread adoption.
    • Competing guidelines, such as those from AHCPR and the American Psychiatric Association, present implementation challenges.
    • Literature on cost savings from utilization management and clinical guidelines is summarized, highlighting a need for further investigation.

    Conclusions:

    • Clinical practice protocols have become ubiquitous in healthcare.
    • Continued research is essential to evaluate the cost-effectiveness and quality impact of these protocols.
    • Addressing physician concerns and implementation barriers is crucial for successful protocol integration.