van Everdingen Jannes J E, Dreesens Dunja H H, Tuut Mariska K
Regieraad Kwaliteit van Zorg, Den Haag, The Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1599.
There is a lack of shared responsibility and national steering in guideline development. The 'Regieraad' (advisory board on guideline development, established by the Dutch Health Secretary) hopes to facilitate the coordination of guideline development. Therefore, the board developed a shortlist of the 100 most important diseases and 25 important care processes, based on several accepted criteria. An inventory of already available guidelines and other instruments for quality improvement was also made. The board thinks that guidelines should become more uniform to improve accessibility and usefulness for daily practice. The board encourages the availability of guidelines for the most important topics. With the information available a long-term policy for guideline development and maintenance can be determined.
在指南制定过程中缺乏共同责任和国家层面的指导。“Regieraad”(由荷兰卫生部长设立的指南制定咨询委员会)希望促进指南制定的协调工作。因此,该委员会根据若干公认标准,列出了100种最重要疾病和25项重要护理流程的清单。还对已有的指南及其他质量改进工具进行了清查。该委员会认为,指南应更加统一,以提高其在日常实践中的可及性和实用性。委员会鼓励提供关于最重要主题的指南。利用现有信息,可以确定指南制定和维护的长期政策。