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  1. Practice guidelines : a new reality in medicine. III: Impact on patient care.

    Article - En anglais

    Practice guidelines are being introduced throughout medicine, but expectations about their impact on patient care depend on whether one is a clinician, patient, payer, administrator, or politician.

    Proponents hope that guidelines will enhance the knowledge, attitudes, and behavior of practitioners and will optimize health outcomes, costs, and malpractice decisions, but scientific evidence of these effects is limited.

    There are also concerns that guidelines could harm patient care.

    Clinicians worry that guidelines will promote « cookbook medicine, » decrease their autonomy and income, and increase medicolegal liability.

    A particular concern relates to the expansion of enforcement programs that require clinicians to follow guidelines or face financial or other penalties.

    Mots-clés Pascal : Organisation santé, Homme, Etats Unis, Ethique, Soin, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Public health organization, Human, United States, Ethics, Care, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0141699

    Code Inist : 002B30A05. Création : 199406.