Agency for health care policy and research: Clinical practice guidelines for heart failure

OBJECTIVE: To review and summarize past activities of guidelines development at the Agency for Health Care Policy and Research (AHCPR) to enhance understanding of its new role and facilitate the development of new guidelines. DATA SYNTHESIS: The current Congressional climate and past criticisms of the guidelines development process have caused the AHCPR to reevaluate the way it produces guidelines. This assessment has resulted in the AHCPR restructuring its role to serve now as a science partner with private and public organizations. CONCLUSIONS: The development and role of evidence-based clinical practice guidelines are discussed, and the new roles of the AHCPR are described.

Download Full-text

The Emulation and Adaptation of a Global Model of Clinical Practice Guidelines on Chronic Heart Failure in BRICS Countries: A Comparative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17051735 ◽

2020 ◽

Vol 17 (5) ◽

pp. 1735 ◽

Cited By ~ 2

Author(s):

Tao Liu ◽

Benjamin Quasinowski ◽

André Soares

Keyword(s):

Heart Failure ◽

Health Care ◽

Clinical Practice ◽

Chronic Heart Failure ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Access To Health Care ◽

Non Communicable Diseases ◽

Brics Countries ◽

Access To Health

Whilst knowledge about diseases is universal, access to health care is not equally distributed. During the last decade, the countries of BRICS (Brazil, Russia, India, China, South Africa) have become important actors on the global health scene, pushing for universal, affordable, and more equal access to health care. Although non-communicable diseases place a significant burden on all populations and health systems, low- and middle-income countries (LMIC), such as BRICS, have been affected particularly hard. Approximately 80 percent of worldwide deaths from non-communicable diseases occur in LMIC. We examined if guidelines concerning chronic heart failure from BRICS countries are influenced by global scripts and if these guidelines have converged or diverged in an inter-state context. Our analysis shows that guidelines on heart failure published in BRICS predominantly rely on models initially formulated by European or American cardiological organisations. Guidelines from BRICS deviate from these models to some extent, in particular with regard to specific epidemiological conditions. Except for the Indian guideline, they do not, however, extensively engage with BRICS-specific aspects of costs, access to and affordability of health care services. We interpret these results through the lens of sociological theories on globalisation. Consistent with neoinstitutionalism, recommendations for clinical practice guidelines have spread in BRICS countries in a rather isomorphic fashion. Notwithstanding, some local medical traditions have also been included into these guidelines through localised adaptation and variation.

Download Full-text

Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

Canadian Journal of Gastroenterology ◽

10.1155/1999/939476 ◽

1999 ◽

Vol 13 (7) ◽

pp. 560-562 ◽

Cited By ~ 1

Author(s):

Colin Macarthur ◽

Liisa Jaakkimainen

Keyword(s):

Health Care ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Guideline Development ◽

Guideline Implementation ◽

Key Steps ◽

Evidence Based Guidelines ◽

Care Costs

The objective of this paper is to review the principles, methods and issues behind the development of clinical practice guidelines. Practice guidelines have been defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances”. The ultimate goal of guidelines is to improve patient outcomes; however, they may also be used as tools to decrease health care costs, improve medical education and enhance quality assurance. Evidence-based guidelines use explicit methods to link recommendations to the quality of the underlying research. Following development of the guideline, implementation and evaluation are key steps. The ultimate aim of guideline development is to influence physician knowledge, attitudes and behaviour.

Download Full-text