Attitudes about Guidelines

Abstract

Letters1 November 1994Attitudes about GuidelinesSean R. Tunis, MD, MSc, Robert S.A. Hayward, MD, MPH, and Mark C. Wilson, MD, MPHSean R. Tunis, MD, MScSearch for more papers by this author, Robert S.A. Hayward, MD, MPHSearch for more papers by this author, and Mark C. Wilson, MD, MPHSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-9-199411010-00038 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Hongsermeier's letter shows the ambivalence of many physicians toward clinical practice guidelines. She presents two contrasting visions of the future: One anticipates that insurers' algorithms will be enforced through pocket computers, and the other envisions clinician-developed practice guidelines being used to improve decisions, reduce paperwork, and enhance patient-provider interactions. These contrasts are also prominent in our survey, in which physicians perceived guidelines as potentially educational and coercive, quality-driven and economically motivated, and convenient and disciplinary [1].The “Brave New World” envisioned by Dr. Hongsermeier assumes that health insurers will control the development and enforcement of clinical guidelines. ...REFERENCE1. Tunis SR, Wilson MC, Hayward RSa, Rubin HR, Bass EB, Johnston M, et al. Internists' attitudes about clinical practice guidelines. Ann Intern Med. 1994; 120:956-63. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 November 1994Volume 121, Issue 9Page: 725-726KeywordsAlgorithmsComputersDecision makingForecastingTreatment guidelinesVision ePublished: 15 August 2000 Issue Published: 1 November 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...