Type
Article
Title
The Emergence of Clinical Practice Guidelines
In
The Milbank quarterly
Author(s)
WEISZ Georges - (Author)
CAMBROSIO Alberto - Centre de sociologie des organisations (Author)
KEATING Peter - (Author)
KNAAPEN Loes - Department of Social Studies of Medicine (SSOM) (Author)
SCHILCH Thomas - (Author)
TOURNAY Virginie - (Author)
Editor
US : Cambridge University Press
Volume
85
Number
4
Pages
691 - 727 p.
ISSN
0887378X
Keywords
clinical practice
Abstract
EN
Clinical practice guidelines are now ubiquitous. This article describes the emergence of such guidelines in a way that differs from the two dominant explanations, one focusing on administrative cost-cutting and the other on the need to protect collective professional autonomy. Instead, this article argues that the spread of guidelines represents a new regulation of medical care resulting from a confluence of circumstances that mobilized many different groups. Although the regulation of quality has traditionally been based on the standardization of professional credentials, since the 1960s it has intensified and been supplemented by efforts to standardize the use of medical procedures. This shift is related to the spread of standardization within medicine and especially in research, public health, and large bureaucratic health care organizations.

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