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儿童神经科医生的临床实践指南和实践参数

Clinical practice guidelines and practice parameters for the child neurologist.

作者信息

Leviton Alan, Loddenkemper Tobias, Pomeroy Scott L

机构信息

Department of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.

出版信息

J Child Neurol. 2013 Jul;28(7):917-25. doi: 10.1177/0883073813483362. Epub 2013 Apr 10.

Abstract

Guidance about how to practice child neurology has been around for decades. Recently, however, clinical practice guidelines, practice parameters, and standardized clinical assessment and management plans are gaining increasing attention. This overview, written for child neurologists, addresses such issues as the following: what are clinical practice guidelines, why are they needed, how are they created, how should they be created, how well are they accepted and adhered to, what influences acceptance and adherence, do guidelines improve care, do they reduce costs, will they be viewed by courts as the standard of care, how can they be updated and improved, and are there better alternatives?

摘要

关于如何开展儿童神经病学实践的指导方针已经存在了数十年。然而,近年来,临床实践指南、实践参数以及标准化临床评估与管理计划正受到越来越多的关注。这篇为儿童神经科医生撰写的综述探讨了以下问题:什么是临床实践指南,为何需要它们,如何制定它们,应该如何制定它们,它们的接受度和遵循情况如何,哪些因素影响接受度和遵循情况,指南是否能改善医疗服务,是否能降低成本,法院是否会将其视为医疗标准,如何对它们进行更新和改进,以及是否有更好的替代方案?

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