Of the many noteworthy changes in neurologic practice in recent years, the development of practice guidelines (PGs) is certainly among the most important, since guidelines have the potential to exert a powerful and beneficial influence on the patterns of responsibility in practice and the quality of care.1 As defined by a committee of the Institute of Medicine, PGs are "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances."2 Although informally developed PGs are no doubt as old as the medical profession itself, what has become distinctly different in recent years is that some PGs represent official policies of institutions and organizations concerning the optimum diagnostic procedure or treatment in specific medical care situations. Interest in PGs has emerged in professional societies, managed care plans, insurance companies, and governmental agencies, among others. Ironically, there are no guidelines for developing guidelines, so
Menken M. Practice Guidelines in Neurology Will They Get Us Where We Want To Go? Arch Neurol. 1992;49(2):193–195. doi:10.1001/archneur.1992.00530260095027
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