Health Affairs, 24, no. 1 (2005): 174-179 doi: 10.1377/hlthaff.24.1.174 © 2005 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Implementing Evidence

PERSPECTIVE

Evidence-Based Guidelines As a Foundation For Performance Incentives

Clinical guidelines, which increasingly build upon impartial analysis of evidence from well-designed studies, have become highly credible sources of information about what forms of care are effective. Consequently, they are attractive as foundations for performance incentives. Unfortunately, they are often complex, and frequently it is infeasible to gather the information required to assess compliance with guidelines at reasonable cost. I discuss the problems in implementing evidence-based guidelines and steps that could be taken to make them more useful as a basis for performance measurement.

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