Editorial
Indications for coronary revascularisation: guidelines for the Netherlands
| The first 150 words of the full text of this article appear below. |
The desire for quality assurance by medical professional organisations has led to the development of guidelines by national and international societies, formulated by expert panels and based on current evidence in the literature. Governments and third party payers have increased their scrutiny of what physicians do and how they do it. As the costs of medical care grow, the call for assessment of appropriateness and cost effectiveness of medical procedures increases. In evaluating clinical practice, a number of studies have pointed to the large variations in daily practice between countries, centres, and individual doctors.
Governments, insurers, and doctors would like to see this variance reduced. This has led to the development of guidelines for clinical practice which can serve the purposes of both physicians and administrators; if used wisely, antagonism between the two can be avoided.
Guidelines formulated by expert panels have several limitations.
First, discordance is observed between panels
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