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Pages 93-93

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From page 93...
... In general, explanations for policy success or failure need to consider evidence about the following: . the validity of the policy premises, for example, the assumption of many policymakers that broader development and use of practice guidelines will achieve significant cost savings; · the quality of the implementation process, for example, the extent tO which information was disseminated or incentives were created for the use of the guidelines; · the existence of countervailing events, for example, court decisions limiting the ability of health care organizations or payers to review the appropriateness of care and then deny either practice privileges or payment for practitioners providing inappropriate care; and · the nature of supportive or enabling conditions, for example, the breadth of professional interest in the topic covered by the guidelines or a technical breakthrough in access to computer-based information systems.


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