Developing clinical practice guidelines: reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development

被引:209
作者
Shekelle, Paul [1 ,2 ]
Woolf, Steven [3 ,4 ]
Grimshaw, Jeremy M. [5 ,6 ]
Schuenemann, Holger J. [7 ,8 ]
Eccles, Martin P. [9 ]
机构
[1] RAND Corp, Santa Monica, CA 90407 USA
[2] Vet Affairs Greater Los Angeles Healthcare Syst, Los Angeles, CA 90073 USA
[3] Virginia Commonwealth Univ, Dept Family Med, Richmond, VA USA
[4] Virginia Commonwealth Univ, Ctr Human Needs, Richmond, VA USA
[5] Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada
[6] Univ Ottawa, Dept Med, Ottawa, ON, Canada
[7] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
[8] McMaster Univ, Dept Med, Hamilton, ON, Canada
[9] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne NE2 4AX, Tyne & Wear, England
来源
IMPLEMENTATION SCIENCE | 2012年 / 7卷
关键词
FRAMEWORK; CARE;
D O I
10.1186/1748-5908-7-62
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
Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this third paper we discuss the issues of: reviewing, reporting, and publishing guidelines; updating guidelines; and the two emerging issues of enhancing guideline implementability and how guideline developers should approach dealing with the issue of patients who will be the subject of guidelines having co-morbid conditions.
引用
收藏
页数:7
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