COMPLIANCE WITH PRACTICE GUIDELINES - CLINICAL AUTONOMY REVISITED

被引：26

作者：

KLAZINGA, N

机构：

[1] National Organization for Quality Assurance in Hospitals, 3502 LB Utrecht

来源：

HEALTH POLICY | 1994年 / 28卷 / 01期

关键词：

PRACTICE GUIDELINES; CONSENSUS DEVELOPMENT; QUALITY ASSURANCE; PROFESSIONAL AUTONOMY;

D O I：

10.1016/0168-8510(94)90020-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The development of practice guidelines is gaining popularity in both North America and Europe. This review article explores the different reasons behind guideline development, the methodologies used and the effects assessed so far. Experience since 1982 with a guideline development programme at CBO is discussed in more detail. The consequences guidelines have for professional autonomy are discussed, and it is concluded that guidelines can enforce professionalization as well as accountability and efficiency when developed within the framework of a consistent goal-method-effect scheme and applied as an integral part of professional quality assurance activities.

引用

页码：51 / 66

页数：16

共 78 条

[1] MEDICAL-PRACTICE GUIDELINES - CURRENT ACTIVITIES AND FUTURE-DIRECTIONS [J].