Document Detail


Practice parameters benefit all. Patient management strategies improve outcomes for patients, lower costs for payers.
MedLine Citation:
PMID:  10127977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Practice parameters, patient management strategies designed to help physicians make clinical decisions, can eliminate thousands of unwarranted medical procedures each year, resulting in greater satisfaction for patients and lower costs for payers. But physicians have yet to adopt many recently issued parameters. The enthusiasm with which they embrace newer guidelines depends on their views concerning the expertise of the sponsoring organization and the participants in the group that developed the parameter. Practice parameter development is costly. Before creating a practice parameter, it is a good idea to find out if a parameter already exists that can be modified for local use, or if one is being developed elsewhere. Some think inertia is a major obstacle to carrying out practice parameter guidelines. Others believe healthcare professionals' opposition is a more substantial roadblock. Some physicians believe practice parameters threaten their autonomy and the art of their practice. Pressure from patients to use certain procedures can also be an obstacle. Practice parameters work best if developed by authoritative physician specialty organizations. Implementation needs to be backed up with continuing education and feedback.
Authors:
R D Rothschild
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health progress (Saint Louis, Mo.)     Volume:  74     ISSN:  0882-1577     ISO Abbreviation:  Health Prog     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-09-24     Completed Date:  1993-09-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8500263     Medline TA:  Health Prog     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  24-9     Citation Subset:  H    
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel
Cost Savings
Education, Medical, Continuing
Insurance, Liability / trends
Medical Staff, Hospital / education,  standards*
Physician's Practice Patterns*
Practice Guidelines as Topic / standards*
Professional Autonomy
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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