Clinical Practice Guidelines Directions for a New Program (1990) / Chapter Skim
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Pages 104-105
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From page 104... ...
The Forum needs to be sensitive to this issue during the guidelines development phase; it also needs to work with HCFA and other organizations to minimize negative effects from poor translation of otherwise good guidelines into review criteria, from unduly stnugent application of such criteria, or both. As noted previously, early involvement of provider groups and respected representatives of review organizations, such as the Medicare PROs, is desirable as one means of enhancing the later manageability of guidelines.
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From page 105... ...
Also, for some services and clinical conditions, the developers of guidelines may choose not to recommend one course of action but to lay out alternative courses of treatment that may be appropriate, depending on, for example, the preferences of a patient or the characteristics of a delivery setting or community. In sum, merely identifying inconsistencies in guidelines says nothing about the legitimacy of those inconsistencies.
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