J Korean Med Sci.  2012 May;27(Suppl):S55-S60. 10.3346/jkms.2012.27.S.S55.

Development and Implementation of Clinical Practice Guidelines: Current Status in Korea

Affiliations
  • 1Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea. ahnhs@korea.ac.kr

Abstract

Documentation of unexplained geographic variations in medical practices and use of inappropriate interventions has led to the proliferation of clinical practice guidelines. With increased enthusiasm for guidelines, evidence exists that clinical practice guidelines often influence clinical practices or health outcomes. Their successful implementation may improve the quality of care by decreasing in appropriate variation and expediting the application of effective advances to healthcare practices. In Korea, physicians and healthcare professionals have begun to take interests in clinical practice guidelines. Currently, over 50 practice guidelines have been developed through professional academic organizations or via other routes; however, the quality of the guidelines is unsatisfactory, implementation in clinical settings is incomplete, and there is insufficient infrastructure to develop clinical practice guidelines. Korea must develop policies and invest resources to enhance the development and implementation of clinical practice guidelines.

Keyword

Clinical Practice Guidelines; Evidence-Based Medicine; Healthcare Quality; Health Policy; Clinical Practice Guideline Development; Korea

MeSH Terms

Delivery of Health Care
Evidence-Based Medicine
Health Policy
Humans
Physicians/statistics & numerical data
*Practice Guidelines as Topic
Program Development
Republic of Korea

Cited by  1 articles

Current Status of Clinical Practice Guidelines in Korea
Miyoung Choi, Soo Young Kim, You Kyung Lee,
J Korean Med Sci. 2021;36(6):e35.    doi: 10.3346/jkms.2021.36.e35.


Reference

1. Field MJ, Lohr KN, editors. Clinical practice guidelines: directions for a new program. 1990. Washington, DC: National Academy Press.
2. Field MJ. Overview: prospects and options for local and national guidelines in the courts. Jt Comm J Qual Improv. 1993. 19:313–318.
3. Field MJ, Lohr KN, editors. Institute of medicine. Guidelines for clinical practice: from development to use. 1992. Washington, DC: National Academy Press.
4. Schoenbaum SC, Sundwall DN. Agency for healthcare policy and research. Using clinical practice guidelines to evaluate quality of care. 1995. Agency for Healthcare Policy and Research Publication.
5. Tunis SR, Hayward RS, Wilson MC, Rubin HR, Bass EB, Mary J, Steinberg EP. Internists' attitudes about clinical practice guidelines. Ann Intern Med. 1994. 120:956–963.
6. Coenen S, Van Royen P, Michiels B, Denekens J. Optimizing antibiotic prescribing for acute cough in general practice: a cluster-randomized controlled trial. J Antimicrob Chemother. 2004. 54:661–672.
7. Saint S, Scholes D, Fihn SD, Farrell RG, Stamm WE. The effectiveness of a clinical practice guideline for the management of presumed uncomplicated urinary tract infection in women. Am J Med. 1999. 106:636–641.
8. Grimshaw JM, Russel IT. Achieving health gain through clinical guidelines. II: Ensuring guidelines change medical practice. Qual Health Care. 1994. 3:45–52.
9. National Institute for Clinical Excellence (NICE). The guideline development process-information for national collaborating centres and guideline development groups. 2001. London: NICE.
10. Bowker R, Lakhanpaul M. How to write a guideline. Handbook for healthcare professionals. 2008. Philadelphia, USA: Churchill Liningstone Elsevier.
11. New Zealand Guidelines Group (NZGG). Handbook for the preparation of explicit evidence-based clinical practice guidelines. 2003. The Terrace, New Zealand Guidelines Group.
12. Burgers JS, Grol R, Klazinga NS, Mäkelä M, Zaat J. AGREE Collaboration. Towards evidence-based clinical practice: an international survey of 18 clinical guideline programs. Int J Qual Health Care. 2003. 15:31–45.
13. Burgers JS, Cluzeau FA, Hanna SE, Hunt C, Grol R. Characteristics of high quality guidelines: evaluation of 86 clinical guidelines developed in ten European countries and Canada. Int J Technol Assess Health Care. 2003. 19:148–157.
14. Grol R, Thomas S, Roverts R. Development and implementation of guidelines for family practice: lessons from the Netherlands. J Fam Pract. 1995. 40:435–439.
15. National Guideline Clearinghouse. accessed on 10 January 2012. Available at http://www.guideline.gov.
16. Korean Medical Guideline Information Center. accessed on 10 January 2012. Available at http://www.guideline.or.kr.
17. Ahn HS, Lee HY, Lee SY, Kim NS, Kim SY, Park EJ. Manual for clinical practice guideline development and implementation. 2004. Seoul: Korea Institute for Health and Social Affairs Press.
18. Ahn HS. Park BJ, editor. Clinical practice guideline. Evidence-based Healthcare. 2009. Seoul: Korea Medical Book Publisher Press;243–271.
19. Kim NS, Kim SY, Park EJ. Handbook for promoting the quality of medicine: based on clinical practice guidelines. 2004. Seoul: Korea Institute for Health and Social Affairs Press.
20. Appraisal of Guidelines, Research, and Evaluation in Europe (AGREE) Collaborative Group. Guideline development in Europe. An international comparison. Int J Technol Assess Health Care. 2000. 16:1039–1049.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr