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- W1915744027 abstract "Editor—I think that Cookson et al in their criticisms of the Scottish Intercollegiate Guidelines Network (SIGN) show a lack of understanding of the role of this organisation and the methods it uses to develop its guidelines.1 Evidence based guidelines will not resolve all healthcare issues, just as randomised controlled trials are not appropriate to resolve all therapeutic controversies. There are, however, areas of healthcare delivery where there are variations in practice and outcome, and where there is also evidence to support one practice over another.This is where SIGN concentrates its resources to produce guidelines. SIGN does not differentiate in its methodology between costly and non-costly treatments, and, contrary to the authors' supposition, the adherence to such guidelines will reduce variations in treatments of all costs and therefore the possibility of decision making behind the scenes. In addition to this, SIGN guidelines are not only in the public domain, but the public have a key part in their development, and this involvement is an important driver for change.Cookson et al are also concerned that resource allocation might be distorted. The opposite is the case. Adherence to evidence based guidelines will lead to a more efficient use of resources and concentrate this on areas where there is a clear benefit from a therapeutic intervention. It should also be made clear that SIGN guidelines are not just about advising on treatment but offer guidance to assist with the management of patients at all stages of their disease, and where there is robust economic information, this is incorporated into the guideline." @default.
- W1915744027 created "2016-06-24" @default.
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- W1915744027 date "2002-02-16" @default.
- W1915744027 modified "2023-09-27" @default.
- W1915744027 title "National guidance and allocation of resources" @default.
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- W1915744027 doi "https://doi.org/10.1136/bmj.324.7334.427/b" @default.
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