Clinical guidelines: development, implementation, and effectiveness
Postgraduate Medical JournalPublished 1 January 1995Open access
Carl W. R. Onion, T Walley
Citations43
SJR quartileQ2
SJR score0.79
SNIP1.05
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The standard ofmedical service provision all over the world is being increasingly questioned from within and without the medical profession, and various means of providing advice on best practice to doctors have been developed.
Abstract
C W R Onion, T Walley; Clinical guidelines: development, implementation, and effectiveness, Postgraduate Medical Journal, Volume 71, Issue 831, 1 January 1
Keywords
Decision SciencesMedicine
The LancetEffect of clinical guidelines on medical practice: a systematic review of rigorous evaluations
2,811 Citations1993Jeremy Grimshaw, Ian Russell
It is concluded that explicit guidelines do improve clinical practice, when introduced in the context of rigorous evaluations, however, the size of the improvements in performance varied considerably.
Motivating Humans: Goals, Emotions, and Personal Agency Beliefs
1,286 Citations1992Martin E. Ford
Medical EducationLearning styles and approaches: implications for medical education
561 Citations1986David Newble, Noël Entwistle
This paper identifies two separate streams of research, one originating from mainstream cognitive and psychometric psychology and one from research undertaken within the everyday learning environment, which seems to have more immediate practical relevance.
Annals of Internal MedicineInternists' Attitudes about Clinical Practice Guidelines
445 Citations1994Sean Tunis, Robert S. A. Hayward +5 more
A national survey of a random sample of American College of Physicians (ACP) members to assess ACP members' familiarity with, confidence in, and attitudes about guidelines issued by ACP and other organizations and members' perceptions of the effect of ACp and other guidelines on their practices.
BMJShould there be a moratorium on the use of cholesterol lowering drugs?
336 Citations1992George Davey Smith, Jami Pekkanen
An aggressive approach to cholesterol reduction features in most of the official guidelines for the primary prevention of coronary heart disease, and high percentages of the British population would become candidates for drug treatment if the guidelines currently advanced by some authorities were put into practice.
BMJGuidance on guidelines.
114 Citations1992Andy Haines, Gene Feder
The role of guidelines in clinical practice and service development needs close examination, and studies suggest that guidelines emanating from consensus development conferences are unlikely to affect practice unless other factors promoting change are present.
BMJGuidelines for the management of asthma: a summary. British Thoracic Society and others.
113 Citations1993Peter J. Barnes, A Barnett +54 more
Clinicians should be aware that bacterial meningitis can present quite atypically, with the sudden onset of severe behavioural disturbance closely mimicking substance abuse, and should avoid potentially disastrous delays in treatment.
Annals of Internal MedicineCredibility, Cookbook Medicine, and Common Sense: Guidelines and the College
46 Citations1994Peter E. Dans
How American College of Physicians (ACP) members view guidelines whose development the College has fostered through the Clinical Efficacy Assessment Project is discussed, with the disconcerting finding that 7% of respondents indicated familiarity with fictitious guidelines must be considered when assessing the 11% to 59% who reported familiarity with actual guidelines.
PubMedRelationship between the number of partners in a general practice and the number of different drugs prescribed by that practice.
26 Citations1992Michael McCarthy, K Wilson-Davis +1 more
The use of a practice prescribing policy was found to have no influence on the range of drugs prescribed, nor on the prescribing costs, and the inference is that formal therapeutic policies may be difficult to implement within group practices.
BMJThe promise of a reformed NHS: an economist's angle.
22 Citations1991Anthony J. Culyer
Efficiency means using resources in the NHS so as to ensure that they have maximum impact on health; equity means distributing resources inThe NHS so that their fruits in terms of better health are fairly distributed among the population.
PubMedCan rational prescribing be assessed?
18 Citations1987T D van Zwanenberg, George Grant +1 more
The prescribing of a group of young general practitioners was assessed, before and after educational intervention, using five parameters of rational prescribing, and it appears that discussions about rational prescribing lead to similar changes in prescribing as involvement in the compilation of a formulary.
Europe PMC (PubMed Central)Management of mild hypertension: Which guidelenes to follow?
18 Citations1994Gene Feder
PubMedThe general practice formulary--its role in rational therapeutics.
14 Citations1985Philip E. Green
A voluntary preferred prescribing list (general practice formulary), analogous to those already in use in some hospitals, was created, implemented and monitored, which enhances the critical appraisal of prescribing rationale, takes into account the needs of doctors and patients, and reduces costs.
Rewarding people : the skill of responding positively
11 Citations1993David Dickson, Christine Saunders +1 more
PubMedClinical guidelines. Report of a local initiative.
6 Citations1992Andy Haines, Barrie J. Hurwitz
OpenGrey (Institut de l'Information Scientifique et Technique)No Fault Compensation in Medicine
1 Citations1989Mann, R.D., Havard, J. (eds.) +1 more