Health Affairs, 24, no. 3 (2005): 885-886 doi: 10.1377/hlthaff.24.3.885-a © 2005 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

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Letters

CPGs: Think Core Concept

In their paper on the promises and pitfalls of evidence-based medicine (Jan/Feb 05), Stefan Timmermans and Aaron Mauck cite a number of barriers that hinder physicians from adhering to clinical practice guidelines (CPGs). We offer one more: There is little understanding of how CPGs can help physicians in their daily work. In a practice environment where the payment systems bear no relationship to science or quality, day-to-day work is complicated by potential auditor requirements to document patient care, receive prior authorization of services by health plans, and manage prescription needs to plan-specific formularies. Physicians often see CPGs as simply adding . . . [Full Text of this Article]

Alice G. Gosfield and James L. Reinertsen

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