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There are statements that also include recommendations which are aimed at optimizing the care of patients which are called clinical practice guidelines. These guidelines are supposed to be guided by systematically reviewed evidence and an assessment of harms and benefits of all the alternative options for the care of patients. Rather than offering a one –size-fits-all kind of approach for the care of patient practice guidelines should in theory give an evaluation in terms of quality and precise scientific literature arrived at through extensive research and assessment of the possible harms and benefits of any particular treatment. This kind of information is supposed to enable the providers of health care to continue correctly in the selection the optimum care for each individual patient while taking into consideration their personal preferences. This is highly doubtable due to a large number of reasons in theory and on paper these guidelines should be easy to arrive at and follow but that is definitely not the case.
The United States congress by the “Medicare Improvements for Patients and Providers Act of 2008” requested the institute of medicine or IOM to conduct an extensive study of the most suitable methods as used in the development of clinical practice guidelines. Aiming to ensure that organization undertaking the development of these guidelines the suitable approach which would ideally be objective, valid scientifically, reliable and consistent, the IOM put together a committee of experts. This committee came up with eight very ambitious standards for developing the best clinical practices which can be trusted. Whether they succeeded, however is questionable. In as much as their intentions were in the right place it next to impossible to imagine that they would be followed to the letter some of these standards are bound to be sidelined or overlooked in some
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