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Application of Comparative Effectiveness Research to Promote Adherence to Clinical Practice Guidelines

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Decision Making in a World of Comparative Effectiveness Research

Abstract

Comparative effectiveness research (CER) ideally should be used to inform clinical practice guidelines. The challenge is to effectively incorporate CER into guidelines and to promote adherence to these clinical practice guidelines. CER can serve as a tool for continuous quality improvement of clinical practice guidelines. Thousands of clinical practice guidelines exist, of varying quality, and often offer conflicting recommendations. In this chapter, we examine why clinicians do not follow agreed-upon evidence-based clinical practice guidelines. We discuss the advantages and disadvantages of using clinical practice guidelines and how they are adopted into practice. We discuss the measurement of adherence to clinical practice guidelines and the effect of multiple medical conditions and multiple clinical guidelines on adherence.

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Correspondence to Carl V. Asche PhD .

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Asche, C.V., Hippler, S., Eurich, D. (2017). Application of Comparative Effectiveness Research to Promote Adherence to Clinical Practice Guidelines. In: Birnbaum, H., Greenberg, P. (eds) Decision Making in a World of Comparative Effectiveness Research. Adis, Singapore. https://doi.org/10.1007/978-981-10-3262-2_17

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  • DOI: https://doi.org/10.1007/978-981-10-3262-2_17

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