Is it time for a review of the way that NICE guidelines are developed, presented and used to inform policy and practice?

摘要

Catherine Lowenhoff emphasises the need to share the uncertainties inherent in the National Institute for Health and Care Excellence guidelines with policy makers, commissioners, regulators, managers and clinicians to facilitate the paradigm shift from evidence-based practice to evidence-informed practice.Introduction: Given the volume of information now available, it makes sense to have a system that facilitates access to summaries of the best available evidence, evaluated by a team of experts, which provide the blueprint for effective practice. In England, this is the purpose of the National Institute of Health and Care Excellence (NICE). The remit of NICE is to produce evidence-based guidance for health and social care practitioners that will lead to improved outcomes for people using the National Health Service (NHS), public health and social care services.