Klazinga N
National Organization for Quality Assurance in Hospitals, Utrecht, Netherlands.
Health Policy. 1994 Mar;28(1):51-66. doi: 10.1016/0168-8510(94)90020-5.
The development of practice guidelines is gaining popularity in both North America and Europe. This review article explores the different reasons behind guideline development, the methodologies used and the effects assessed so far. Experience since 1982 with a guideline development programme at CBO is discussed in more detail. The consequences guidelines have for professional autonomy are discussed, and it is concluded that guidelines can enforce professionalization as well as accountability and efficiency when developed within the framework of a consistent goal-method-effect scheme and applied as an integral part of professional quality assurance activities.
实践指南的制定在北美和欧洲都越来越受欢迎。这篇综述文章探讨了指南制定背后的不同原因、所使用的方法以及迄今为止所评估的效果。文中更详细地讨论了自1982年以来在CBO开展的一项指南制定计划的经验。文章还讨论了指南对专业自主性的影响，并得出结论：当在一致的目标-方法-效果方案框架内制定指南并将其作为专业质量保证活动的一个组成部分加以应用时，指南可以加强专业化以及问责制和效率。
