By Jerome H. Grossman, Marilyn Jane Field, Kathleen N. Lohr, Institute of Medicine (U.S.). Committee to Advise the Public Health Service on Clinical Practice Guidelines
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Additional resources for Clinical practice guidelines: directions for a new program
Eddy, D. Practice Policies--Where Do They Come From? Journal of the American Medical Association 263:1265-1275, 1990e. Eddy, D. Designing a Practice Policy: Standards, Guidelines, and Options. Journal of the American Medical Association, forthcoming (a). Copyright © National Academy of Sciences. All rights reserved. About this PDF file: This new digital representation of the original work has been recomposed from XML files created from the original paper book, not from the original typesetting files.
Html INTRODUCTION AND BACKGROUND 31 not. Some guidelines undoubtedly will save money by reducing the use of inappropriate services; some will increase costs by encouraging more use of underutilized services; and some will shift costs from one service, place, or payer to another. The net impact on costs cannot be predicted with confidence, even if the priorities for guidelines development focus on clinical conditions for which overuse of expensive services is suspected. One of the main areas of disagreement among committee members involved precisely how costs should be considered in the development of practice guidelines.
S. General Accounting Office (G. Silberman, assistant director, Program Evaluation and Methodology Division, letter dated October 16, 1989, to medical specialty societies): "[G]uidance—by whatever name—that aids practicing physicians and others in the medical community (and consumers, if included) in dayto-day decisions by describing the degree of appropriateness and the relative effectiveness of alternate approaches to detecting, Copyright © National Academy of Sciences. All rights reserved. About this PDF file: This new digital representation of the original work has been recomposed from XML files created from the original paper book, not from the original typesetting files.