 |
|
Evidence-Based Medicine, Critical Pathways, Practice Guidelines, and Managed CareReflections on the Prevention and Care of Stroke
Steven P. Ringel, MD;
Richard L. Hughes, MD
Arch Neurol. 1996;53(9):867-871.
Abstract
Because managed care plans are exerting enormous pressure to reduce the cost of medical care, neurologists need to enhance their skills at identifying appropriate, high-quality, and cost-effective care for patients with neurological disorders. A variety of health services research methods are available that foster evidence-based decisions and deemphasize intuition in decision making. Despite imperfect data and a lack of familiarity with some of these methods, we have found them useful in developing guidelines and pathways for the prevention and management of stroke. Neurologists should become more familiar with the pragmatic benefits, limitations, and obstacles that hinder acceptance and implementation of these approaches. If we wish to continue to influence the medical decision process, we must focus on the provision of quality neurological care and not on the managed care plan.
Author Affiliations
From the Department of Neurology, University of Colorado Health Science Center, Denver.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Recommendations for Comprehensive Stroke Centers: A Consensus Statement From the Brain Attack Coalition
Alberts et al.
Stroke 2005;36:1597-1616.
ABSTRACT
| FULL TEXT
Quality of Neurological Care: Balancing Cost Control and Ethics
Bernat
Arch Neurol 1997;54:1341-1345.
ABSTRACT
Further Consequences of Managed Care
Levitt
Arch Neurol 1997;54:1064-1064.
ABSTRACT
The Neurologist and Managed Care
Joynt
Arch Neurol 1996;53:848-848.
ABSTRACT
|
