Tierney W M, Overhage J M, McDonald C J
Indiana University School of Medicine, Regenstrief Institute for Health Care, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana, USA.
Proc AMIA Annu Fall Symp. 1996:459-62.
Clinical practice guidelines are being touted as a cure for the tension between health care cost and quality. Rather than being just a means of controlling clinicians, guidelines also offer the chance to improve the quality of care by reducing practice variation and adherence to standards of good care. To be operationalized via computers, guidelines must be accepted by the clinicians, who must fully intend to follow them. They must be timely and use available data with minimal additional data entry by clinicians. Finally, they should have a measurable effect and be shown to improve care processes and/or outcomes.
临床实践指南被誉为解决医疗保健成本与质量之间矛盾的良方。指南不仅仅是控制临床医生的一种手段，还提供了通过减少实践差异和遵循优质护理标准来提高护理质量的机会。要通过计算机实施，指南必须得到临床医生的认可，临床医生必须真心打算遵循这些指南。指南必须及时更新，并利用现有数据，尽量减少临床医生额外的数据录入。最后，指南应该产生可衡量的效果，并证明能够改善护理流程和/或护理结果。
