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From page 91... ...
The question is whether public and private policies and programs in this area have the effects intended; that is, do practice guidelines, as a policy instrument, affect clinical practice and health outcomes? This kind of evaluation can encompass every step in the development and implementation of guidelines and the intermediate outcomes of each of these steps.
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From page 92... ...
. A recent survey of practice guidelines activities conducted for the IOM concluded that, among organizations involved with guidelines, implementation and evaluation have received secondary emphasis compared with development and promulgation (Audet and Greenfield, 1989~.
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