Thanks, Felice. I do agree with your valuable thoughts.

 

I came across this topic while reading a book on clinical guidelines. Available at: http://www.nap.edu/catalog.php?record_id=1863

 

 

Many thanks

 

Best Regards

Javed

 

 

 

 

Hi Javed,

i can tell you that usually clinicians are not “in love” with guidelines for a lot of reasons. You can find in this list a lot of email about the topic. Sometime guidelines are considered as limitations for EBM at POC for patient.

However policy makers should go on this for concerns about quality of care, variability in use of drugs for the same clinical problem, risk. EB guideline in use can cause costs reduction but sometime costs are increased (direct cost, drug, devices..). Sure you have applied evidence based health care principles. These should be a way to evaluate assistance and real health care among different hospitals. Patients should be trained about the value of guideline in use in HC settings.

Felice

 

_______________________________________________________

Dr. Felice Musicco

Hospital Pharmacist

Resp. Servizio FarmED, Farmacovigilanza, Registri AIFA

Istituti Fisioterapici  Ospitalieri, Roma

tel +39 06 5266.2989-2047

fax +39 06 52662850

email [log in to unmask]

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www.ifo.it

 

 

   

 

 

Dear All,

 

I was going through the topic of clinical guidelines and their relevance with policy makers. Would like to hear thoughts from the group.

 

Some excerpts:

 

 

Some would explain the interest in practice guidelines shown by legislators, regulators, and purchasers of health care (as contrasted with practitioners and patients) with a single phrase: out-of-control health care costs. Although the importance of costs as a stimulus for guidelines should not be understated, concerns about quality of care, risk management, and improved patient outcomes also figure prominently in the call for more and better practice guidelines….

Scientific evidence and clinical judgment can be systematically combined to produce clinically valid, operational recommendations for appropriate care that can and will be used to persuade clinicians, patients, and others to change their practices in ways that lead to better health outcomes and lower health care costs.

 

 

 

Thanks and Regards

Javed

.............................................................................

Javed Shaikh, M.S.(Pharm)

 

 

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