Practice Guidelines

Peter G. Goldschmidt
JAMA. 1990;263(22):3021-3022. doi:10.1001/jama.1990.03440220043016.
Text Size: A A A
Published online

To the Editor.—  In his article on practice guidelines, Dr Brook1 explains well the need for and the various forces driving toward practice guidelines and their value if developed and used appropriately. However, he fails to explore adequately their competing purposes and objectives and how these considerations might influence their content and use. Of particular concern are his emphasis on "one set fits all" and his desire for a single purveyor of the truth.Practice guidelines encompass many uses, for example, prospectively assisting a physician to select the most appropriate diagnostic and therapeutic interventions and retrospectively assessing a physician's quality of care. Until complete guidelines can be developed, depending on their purpose, they will differ. Practice guidelines are shaped by the extent to which costs are equated with benefits. Usually, practice guidelines are conceived in the context of a given health problem and any trade-offs among costs and


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.