Navigation Links
Getting More Out of Guidelines

A review of current clinical guidelines is needed to make them more user-friendly and effective, according to two studies published in the latest edition of the Medical Journal of Australia.//

In the past decade, evidence-based clinical care has become a major feature of health care, yet evidence shows clinical recommendations are frequently not applied in practice.

Dr Heather Buchan, CEO of the National Institute of Clinical Studies in Melbourne, in an editorial accompanying the studies, says those who develop guidelines should focus more on the needs of the people using those guidelines.

Dr Buchan suggests the use of best practice recommendations could be increased if guidelines are put into easier-to-use formats, their implementation is properly planned and adequately funded, and the medical community improves its knowledge about cost-effective methods of achieving practice change.

In the first of the two studies, Professor Lesley Campbell, Director of the Diabetes Centre, St Vincent’s Hospital, Sydney, and colleagues at St Vincent’s Hospital and the Garvan Institute of Medical Research, reviewed the way in which diabetes patients are managed under current guidelines.

They found that incorporating clinical guidelines into routine practice is challenging and that treatment targets are often unrealistic and difficult to meet.

“For many patients, individualised recommendations may be more appropriate,” says Professor Campbell.

“There is significant discord between the evidence-based guideline targets formulated and advocated by physicians, and current treatment outcomes in our own clinical practice.”

A second group of researchers studied the barriers to implementing guidelines for the care of patients with renal impairment, using the example of iron management guidelines.

Ms Michelle Irving, Senior Research Officer at the Children’s Hospital at Westmead, says the guidelines selected for the study carried good supporting evidence, were relevant to renal units, cost-effective, and their success was easily measured.

However, the group found that uptake of the iron management guidelines was varied and depended on individual hospital protocol and whether or not staff were available to help bring about changes.

Ms Irving recommends that to successfully implement new guidelines, it is necessary to understand the local setting and the group being targeted, and how the guidelines differ from current processes.

“Successful implementation…. is not achieved by forcing physicians to obey ‘rules’, but rather by creating an environment in which they are given the skills, knowledge, attitudes and support systems to help them provide their patients with the best possible care, based on the best possible evidence,” she says.


Related medicine news :

1. Heart Surgery Is Getting Safer for the Old
2. Women not Getting Screened Adequately
3. Kids Not Getting Enough Fiber
4. Getting A Suntan The Easy Way
5. Addicted To Getting Tanned?!
6. Smokers Face The Risk Of Getting Diabetes
7. Plump Infants Getting Obese Later In Life In More Cases
8. More Married Women In India Are Getting Infected By HIV
9. Terminally Ill Cancer Patients Are Not Getting Cash Benefits
10. Polluted Water Prevents Men From Getting Married
11. Chances Of Getting Cancer Can Be Reduced By Hysterectomy
Post Your Comments:

(Date:11/25/2015)... Nairobi (PRWEB) , ... November 26, 2015 , ... ... African Union Commission (AUC), European Union (EU), ANDI Pan African Centres of Excellence, ... Nations Office in Nairobi (UNON) for the opening of the 5th African Network ...
(Date:11/25/2015)... ... November 25, 2015 , ... Lakeview Health, a Jacksonville-based ... celebrate their sobriety and show through pictures what a positive difference it makes. ... Thanksgiving with the hashtag #FacesOfGratitude on their Facebook, Twitter, and Instagram accounts. ...
(Date:11/25/2015)... Crystal Lake, IL (PRWEB) , ... November 25, 2015 , ... ... pleased to announce a recent successful appellate decision obtained by Attorneys Francisco J. Botto ... the case Adcock v. Illinois Workers’ Compensation Comm’n, 2015 IL App (2d) 130884WC. , ...
(Date:11/25/2015)... ... , ... Beddit® has launched a new Android app for use ... a more intuitive SleepScore™ that rates sleep quality on a 100-point scale and makes ... by a proprietary algorithm. Beddit analyzes the data to provide an easy to understand ...
(Date:11/25/2015)... ... November 25, 2015 , ... Today, Mothers Against Drunk Driving ... dropped below 10,000 for the first time since 2011. In 2014, there were 9,967 ... data released by the National Highway Traffic Safety Administration (NHTSA), 32,675 people were killed ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... , Nov. 25, 2015  Linden Care, LLC, ... optimizing treatment outcomes for patients suffering from chronic pain, ... for a Temporary Restraining Order (TRO) enjoining Express Scripts ... two companies. --> --> ... all of its legal options. --> ...
(Date:11/25/2015)... AVIV, Israel , November 25, 2015 ... (NASDAQ: KTOV ) (TASE: KTOV), a biopharmaceutical company ... simultaneous treatment of various clinical conditions, today announced the ... 3,158,900 American Depository Shares ( ADSs ), each representing ... purchase up to 3,158,900 ADSs. The ADSs and warrants ...
(Date:11/25/2015)... DUBLIN , Nov. 25, 2015 Endo International ... Rajiv De Silva , President and CEO, will discuss ... Healthcare Conference in New York on ... . Click on Investor Relations, and then the ... prior to the presentation,s start time to visit the site ...
Breaking Medicine Technology: