کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2948144 1577285 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Heart Failure Guidelines, Performance Measures, and the Practice of Medicine : Mind the Gap
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Heart Failure Guidelines, Performance Measures, and the Practice of Medicine : Mind the Gap
چکیده انگلیسی

Guidelines have rather quickly assumed a central role in health care delivery in the U.S. They have become the foundation on which performance measures are built and, therefore, a major player in assessing the quality of care provided by individuals and institutions, the ramifications of which involve reputation, reimbursement, and litigation. We are concerned, however, that in our enthusiasm for collectively endorsing these guidelines, we are marginalizing the importance of physician judgment and inadvertently risking the conversion of guidelines into “cookbooks.” We believe that this viewpoint, while unequivocally acknowledging the fundamental importance of guidelines, simultaneously provides a critically important perspective on the potential for misuse of both guidelines and performance measures. Further, we hope that publication of this viewpoint will help temper enthusiasm for overzealous conversion of guidelines into performance measures, thereby restoring the vital role of physician judgment and insight into patient management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American College of Cardiology - Volume 56, Issue 25, 14–21 December 2010, Pages 2077–2080
نویسندگان
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