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Previous Volume 351:2870-2874 December 30, 2004 Number 27 Next

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Quality-assurance initiatives encourage adherence to evidenced-based guidelines for the management of particular diseases and ensure that such adherence is monitored.^1,2,3 The best of these guidelines, developed by national organizations, systematically collect the available evidence regarding a given disease and provide recommendations, including the use of multidrug regimens, for the treatment of patients with that disease.^4,5,6,7,8 The goal is to maximize benefits to patients with specific diseases by encouraging standardization among providers of health care.^1,2 The push for financial incentives linked to performance will probably accelerate the movement toward the guideline-driven prescribing of medications.^1,2

The expected benefits, including the prevention of . . . [Full Text of this Article]

Characteristics of Guidelines

Unanswered Questions

The Need for Research

Changes in Disease Guidelines

Disease Guidelines and Prescription Decisions

Source Information

From the Departments of Internal Medicine (M.E.T., S.T.B., J.V.A.) and Epidemiology and Public Health (M.E.T.), Yale School of Medicine, New Haven, Conn.; and the Clinical Epidemiology Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, Conn. (J.V.A.).

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