Deutsch S C, Denton M, Borenstein J
Cedars-Sinai Medical Care Foundation, Beverly Hills, CA, USA.
Geriatrics. 1998 Mar;53(3):57, 61-4, 70, 73-4; quiz 75.
Significant variability of medical care exists in the United States that cannot be readily explained on the basis of severity of illness, patient demographics, or clinical necessity. One approach to promoting appropriate decision-making is to make the most recent and relevant information available to physicians in a practice guideline. Physicians are most likely to accept practice guidelines that address a specific need, are supported with scientific evidence, and offer the potential for improving patient outcomes. The implementation of a clinical practice guideline and its impact on the care of patients with uncontrolled hypertension are described.
美国医疗护理存在显著差异，而这些差异无法轻易地基于疾病严重程度、患者人口统计学特征或临床必要性来解释。促进恰当决策的一种方法是在实践指南中向医生提供最新且相关的信息。医生最有可能接受针对特定需求、有科学证据支持且有可能改善患者治疗效果的实践指南。本文描述了一项临床实践指南的实施及其对血压控制不佳患者护理的影响。
