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Guidelines for appropriate care: the importance of empirical normative analysis

, : Guidelines for appropriate care: the importance of empirical normative analysis. Health Care Analysis 9(1): 77-99

The Royal Dutch Medical Association recently completed a research project aimed at investigating how guidelines for 'appropriate medical care' should be construed. The project took as a starting point that explicit attention should be given to ethical and political considerations in addition to data about costs and effectiveness. In the project, two research groups set out to design guidelines and cost-effectiveness analyses (CEAs) for two circumscribed medical areas (angina pectoris and major depression). Our third group was responsible for the normative analysis. We undertook an explorative, qualitative pilot study of the normative considerations that played a role in constructing the guidelines and CEAs, and simultaneously interviewed specialists about the normative considerations that guided their diagnostic and treatment decisions. Explicating normative considerations, we argue, is important democratically: the issues at stake should not be left to decision analysts and guideline developers to decide. Moreover, it is a necessary condition for a successful implementation of such tools: those who draw upon these tools will only accept them when they can recognize themselves in the considerations implied. Empirical normative analysis, we argue, is a crucial tool in developing guidelines for appropriate medical care.


PMID: 11372577

Other references

Zaman, S.M.H., 1990: Genetic manipulation of some characters for the increased yield potentials of food crops of Bangladesh. Breeding objectives are suggested for increased food production in Bangladesh, especially of cereals, pulses, oil seeds, sweet potatoes and potatoes, crops in which wide variation for yield exists. The need to increase acceptability of unusual foo...

Kang, L-Ping.; Liu, Y-Xun.; Eichhorn, T.; Dapat, E.; Yu, H-shui.; Zhao, Y.; Xiong, C-Qi.; Liu, C.; Efferth, T.; Ma, B-Ping., 2012: Polyhydroxylated steroidal glycosides from Paris polyphylla. Three new steroidal saponins, parisyunnanosides G-I (1-3), one new C(21) steroidal glycoside, parisyunnanoside J (4), and three known compounds, padelaoside B (5), pinnatasterone (6), and 20-hydroxyecdyson (7), were isolated from the rhizomes of P...

Yada J., 1973: Human thymus derived cells and bone marrow derived cells and their abnormalities. Japanese Journal of Allergology 22(1): 7-8

Little, J., 2000: Multivitamins, folate, and colon cancer. Gut 48(1): 12-13

Gallily, R.; Eliahu, H., 1974: Uptake and degradation of a polypeptide antigen by stimulated and unstimulated macrophages from responder and non-responder mice. Immunology 26(3): 603-612

Wainer, B.H.; Levey, A.I.; Rye, D.B.; Mesulam, M.M.; Mufson, E.J., 1985: Cholinergic and non-cholinergic septohippocampal pathways. Cholinergic innervation of the hippocampus was examined in the rat by immunocytochemical localization of choline acetyltransferase immunoreactivity combined with retrograde transport of horseradish peroxidase-conjugated wheatgerm agglutinin. It wa...

Sadunov, A.A., 1988: Recording of the functional state of the maxillodental system. Stomatologiia 67(1): 46-50

Mayer, H.O.; Auner, H., 1987: Routine microbiologic diagnosis of inflammatory gynecologic diseases including sexually transmitted diseases. Gynakologische Rundschau 27(2): 116-120

Damen, J.; Bax, J.J.; Kolkman, E.; Poldermans, D., 2004: Prophylactic perioperative beta-blockade reduces cardiac morbidity and mortality following non-cardiac surgery in patients at risk. Approximately 5% of all patients undergoing non-cardiac surgery suffer some form of perioperative cardiac morbidity, usually preceded by myocardial ischaemia. In the Netherlands, the cardiac mortality following non-cardiac surgery is 0.68%. The pa...

Hayashi, N.; Sakamoto, K., 1978: The change of a private farm management by development of agricultural techniques 2. the summary of the history about the cultivation and techniques used in a farm at suigo in ibaraki prefecture japan. The 50 yr management history of this farm was divided into 3 periods: multiple cropping (including rice, wheat, peanuts, soybeans, cotton and sweet potato) by the owners (1960), a transition period, rice monoculture (single cropping) with sidework...