SPECIFIC ISSUES RELATED TO DEVELOPING, DISSEMINATING, AND IMPLEMENTING PEDIATRIC PRACTICE GUIDELINES FOR PHYSICIANS, PATIENTS, FAMILIES, AND OTHER STAKEHOLDERS

Citation
H. Bauchner et L. Simpson, SPECIFIC ISSUES RELATED TO DEVELOPING, DISSEMINATING, AND IMPLEMENTING PEDIATRIC PRACTICE GUIDELINES FOR PHYSICIANS, PATIENTS, FAMILIES, AND OTHER STAKEHOLDERS, Health services research, 33(4), 1998, pp. 1161-1177
Citations number
51
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Heath Policy & Services","Health Care Sciences & Services
Journal title
ISSN journal
0017-9124
Volume
33
Issue
4
Year of publication
1998
Part
2
Pages
1161 - 1177
Database
ISI
SICI code
0017-9124(1998)33:4<1161:SIRTDD>2.0.ZU;2-I
Abstract
Objective. To describe ways in which medical information should be dev eloped and disseminated, focusing on pediatric practice guidelines as an example of one type of information. Principal Findings. The methodo logy of guideline development is well, known and has been previously r eviewed. Guideline development poses problems for many medical special ties, but particularly for pediatrics, because (1) few diseases are pr evalent, (2) only limited randomized controlled trials have been condu cted with respect to specific diagnostic and therapeutic options, and (3) clinicians often are dealing with patient surrogates-parents-rathe r than with the actual patient. Patient and family involvement in guid eline development and dissemination has been limited and may affect th e likelihood that guidelines will be adopted and subsequently improve child health outcomes. The science of dissemination, including guideli nes and other information, is poorly developed. Little is known about the most effective ways to ensure that guidelines reach clinicians and are adopted. Finally, the effect of guidelines on child health outcom es is itself uncertain. Recommendations, (1) Research efforts should f ocus on guideline dissemination and adoption. (2) The effect of guidel ine implementation on health outcomes needs to be better understood. ( 3) Parents should be more involved in guideline dissemination and adop tion.