Archive for the 'Guidelines, Abuse of' Category

More Fun With Guidelines

Tuesday, May 27th, 2008

Lately DrRich has advanced the proposition that the “Guideline Movement” (the push to reduce all of medical practice to a set of fixed rules by which physician behavior can be controlled) is leading to guideline anarchy (whereby numerous interest groups, from the government to industry to professional societies, have begun a mad dash to create […]

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More on Predatory Guidelines

Tuesday, May 6th, 2008

The Wall Street Journal Health Blog informs us that on Saturday last, participants at an American Psychiatric Association symposium apparently castigated the new American Heart Association guidelines on the need to do cardiac pre-screening of children with ADHD. (See DrRich’s previous posting on predatory guidelines, and on the new AHA recommendations.)
A pediatric psychopharmacologist from […]

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Is Guideline Tyranny Causing Guideline Anarchy? (Part II)

Friday, May 2nd, 2008

Part I, The Tyranny of Guidelines, can be seen here.
Part II - The Anarchy of Guidelines
Once doctors have been successfully taught that medical guidelines are not really “guidelines” at all, but rather are specific directives with which they must fully comply, it follows that if you are a healthcare group or organization with an agenda, […]

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Is Guideline Tyranny Causing Guideline Anarchy? (Part I)

Wednesday, April 30th, 2008

The Tyranny of Guidelines
Anybody practicing medicine today needs to be serious about medical guidelines.
The original idea behind medical guidelines was to provide (oddly enough) a guide to physicians in caring for patients with a particular medical problem. That is, they suggested a generally preferred approach to medical care in view of current medical evidence, but […]

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