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评论:什么时候实践指南仅仅只是指南?

Commentary: when is a practice guideline only a guideline?

作者信息

Zonana Howard

机构信息

Department of Psychiatry, Yale University School of Medicine, CMHC, 34 Park Street, Room 153, New Haven, CT 06519-1187, USA.

出版信息

J Am Acad Psychiatry Law. 2008;36(3):302-5.

PMID:18802176
Abstract

Clinical Practice Guidelines (CPGs) have been promulgated by a variety of sources with differing goals: professional societies, state and federal governmental bodies, third-party payers such as insurers and HMOs, and hospitals. Compliance rates by practitioners are modest at best so that their use as standards of care for "usual and customary" practice is questionable. Some states are experimenting with the use of CPGs as a requirement for malpractice coverage.

摘要

临床实践指南(CPGs)已由各种来源发布,目标各异:专业协会、州和联邦政府机构、保险公司和健康维护组织(HMOs)等第三方支付方以及医院。从业者的遵循率充其量只能说是一般,因此将其用作“惯常和常规”医疗实践的护理标准存在疑问。一些州正在尝试将临床实践指南用作医疗事故保险的一项要求。

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