Holzer S, Fremgen A M, Hundahl S A, Dudeck J
Institute of Medical Informatics, Justus-Liebig-University of Giessen, Germany.
Proc AMIA Symp. 2000:364-8.
Guidelines in medicine have been proposed as a way to assist physicians in the clinical decision-making process. Increasingly, they form the basis for assessing accountability in the delivery of healthcare services. However, experiences with their evaluation, as the most important step in the continuous guidelines process, are rare. Patient Care Evaluation Studies have been developed by the Commission on Cancer in the United States. As they reflect the "real-world" medical practice they are helpful in evaluating the quality of diagnosis, therapy and follow-up of tumor diseases in hospitals and cancer center and the compliance with current standards of care. In this context, they can provide an infrastructure for the analysis of the decision-making process.
医学指南被视为协助医生进行临床决策的一种方式。它们越来越多地成为评估医疗服务提供过程中问责制的基础。然而，作为持续更新指南过程中最重要的一步，对其进行评估的经验却很少见。美国癌症委员会开展了患者护理评估研究。由于这些研究反映了“现实世界”中的医疗实践，它们有助于评估医院和癌症中心肿瘤疾病的诊断、治疗及随访质量，以及对当前护理标准的遵循情况。在此背景下，它们可为分析决策过程提供一个框架。
