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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0141699
Code Inist : 002B30A05. Création : 199406.