Leveraging guidelines: understanding heart failure, organizing care. Commentary on the 2010 NICE chronic heart failure guideline update.

摘要

Guidelines are written for clinicians. The uneven uptake of recommendations to date may reflect ambivalence in the clinician's perception of the status of 'guidance', a vulnerability to new evidence and academic disparagement, and a lack of systematic guideline empowerment. As the current political and fiscal environment drives a reappraisal of healthcare organization, with a focus on commissioning 'Quality', the role of guidelines may be changing.