Can global guidelines change health policy?

Fried, Michael; Quigley, Eamonn Martin; Hunt, Richard H.; Guyatt, Gordon; Anderson, Benjamin O.; Bjorkman, David J.; Farthing, M. J. G.; Fedail, S S; Green-Thompson, Ronald; Hampton, John R.; Krabshuis, Justus; Laine, Loren; Horton, Richard

doi:10.1038/ncpgasthep0998

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…The most efficacious treatment is irrelevant to any but theoretical EBP if there is no trained practitioner accessible to deliver treatment or no resources to pay for it. The creation of resource-sensitive practice guidelines is a new development in EBP (see Fried et al, 2008). Such guidelines review the quality of evidence supporting alternative practice recommendations.…”

Section: Resourcesmentioning

confidence: 99%

Evidence‐Based Practice

Spring¹,

Hitchcock²

2010

The Corsini Encyclopedia of Psychology

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Evidence‐based practice (EBP) describes a process of decision making for high‐quality client care. The idea of basing practice on evidence was introduced in medicine as a way to promote clinical decision making that followed a rational process rather than intuition (Evidence‐Based Medicine Working Group, 1992). EBP was defined as “the conscientious, explicit, judicious use of current best evidence in making decisions about the care of individual patients” (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996). From the outset, EBP was seen as based on more than research alone. Research was depicted as one of three overlapping circles or data streams to be considered in clinical decision making. Sackett and colleagues (1996) defined EBP as “the integration of best research evidence with clinical expertise and patient values.”

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Section: Resourcesmentioning

confidence: 99%

Evidence‐Based Practice

Spring¹,

Hitchcock²

2010

The Corsini Encyclopedia of Psychology

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The World Gastroenterology Organization 2009; progress and challenges

Quigley

2009

Arab Journal of Gastroenterology

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Gastroenterology in developing countries: Issues and advances

Mandeville¹,

Krabshuis²,

Ladep³

et al. 2009

WJG

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Developing countries shoulder a considerable burden of gastroenterological disease. Infectious diseases in particular cause enormous morbidity and mortality. Diseases which afflict both western and developing countries are often seen in more florid forms in poorer countries. Innovative techniques continuously improve and update gastroenterological practice. However, advances in diagnosis and treatment which are commonplace in the West, have yet to reach many developing countries. Clinical guidelines, based on these advances and collated in resource-rich environments, lose their relevance outside these settings. In this two-part review, we first highlight the global burden of gastroenterological disease in three major areas: diarrhoeal diseases, hepatitis B, and Helicobacter pylori. Recent progress in their management is explored, with consideration of future solutions. The second part of the review focuses on the delivery of clinical services in developing countries. Inadequate numbers of healthcare workers hamper efforts to combat gastroenterological disease. Reasons for this shortage are examined, along with possibilities for increased specialist training. Endoscopy services, the mainstay of gastroenterology in the West, are in their infancy in many developing countries. The challenges faced by those setting up a service are illustrated by the example of a Nigerian endoscopy unit. Finally, we highlight the limited scope of many clinical guidelines produced in western countries. Guidelines which take account of resource limitations in the form of "cascades" are advocated in order to make these guidelines truly global. Recognition of the different working conditions facing practitioners worldwide is an important step towards narrowing the gap between gastroenterology in rich and poor countries.

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Can global guidelines change health policy?

Cited by 4 publications

References 8 publications

Evidence‐Based Practice

Evidence‐Based Practice

The World Gastroenterology Organization 2009; progress and challenges

Gastroenterology in developing countries: Issues and advances

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