The Effect of Clinical Practice Guidelines on Variations in Care
Authors: Linda Gundersen
Journal: Annals of Internal Medicine (2000)

Current Clinical Issues15 August 2000The Effect of Clinical Practice Guidelines on Variations in CareLinda GundersenLinda GundersenAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-133-4-200008150-00102 SectionsAboutFull Text ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Clinical practice guidelines are available for many disorders, from the common cold to colon cancer. According to the Institute of Medicine, such guidelines are primarily intended to assist in physician and patient decision making. Guidelines are also meant to eliminate unnecessary and unjustified variations in practice, but their effectiveness in that regard is debatable. Naturally, clinical guidelines cannot eradicate variations because an enormous number of variables—for example, local circumstances and comorbid conditions—affect clinical decisions. Guidelines can consider variations in clinical settings, resources, and other variables, but cannot always adjust for the combination of resources that may be available to a ... 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