The Guideline Approach to Chronic Obstructive Pulmonary Disease: How Effective?

Authors: Heffner, John E1; Ellis, Rosemary2

Source: Respiratory Care, Volume 48, Number 12, December 2003 , pp. 1257-1268(12)

Publisher: The Journal Respiratory Care Company

Buy & download fulltext article:

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.

Abstract:

Clinical practice guidelines are systematically developed to assist health care decisions in specific clinical circumstances. They first arose to improve quality of care by decreasing unexplained practice variation, controlling health care costs, fostering evidence-based decision-making, and accelerating the application of new advances in medical science to everyday practice. Unfortunately, multiple studies demonstrate incomplete and varied effectiveness of clinical practice guidelines in altering clinician behavior and improving patient outcomes. Efforts to enhance guideline effectiveness have focused on improving the methods for guideline development, diffusion, dissemination, and implementation. Despite evidence of limited effectiveness, more than 40 clinical practice guidelines pertaining to chronic obstructive pulmonary disease have been published since 1985. The present article reviews those guidelines, evidence for their effectiveness, and approaches to improve their implementation.

Keywords: CHRONIC OBSTRUCTIVE PULMONARY DISEASE; COPD; GUIDELINES

Document Type: Research Article

Affiliations: 1: Center for Clinical Effectiveness and Patient Safety, Medical University of South Carolina, 169 Ashley Avenue, PO Box 250332, Charleston SC 29425;, Email: heffnerj@musc.edu 2: Center for Clinical Effectiveness and Patient Safety, Medical University of South Carolina, Charleston, South Carolina

Publication date: December 1, 2003

More about this publication?
Related content

Tools

Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content

Text size:

A | A | A | A
Share this item with others: These icons link to social bookmarking sites where readers can share and discover new web pages. print icon Print this page