Niederstadt C J, Doering T J, Fischer G C
Abt. Allgemeinmedizin, Medizinischen Hochschule Hannover.
Z Arztl Fortbild Qualitatssich. 2001 Aug;95(8):561-6.
Development of clinical guidelines in Germany is based on two divergent principles. One is the clinical position of individuality and clinical experience. The other is the strong adherence to the principles of evidence-based medicine and the scientific method, as demonstrated by the clear, algorithmic methodology of critical pathway development. We discuss the pros and cons of both concepts and try to find some sort of practical middle ground between the two extremes.
德国临床指南的制定基于两个不同的原则。一个是个体化和临床经验的临床立场。另一个是严格遵循循证医学原则和科学方法，这体现在关键路径制定的清晰、算法化方法上。我们讨论了这两种理念的优缺点，并试图在这两个极端之间找到某种实际的中间立场。
