Addressing resource allocation issues in recommendations from clinical practice guideline panels: Suggestions from an American College of Chest Physicians task force

Gordon Guyatt, Michael Baumann, Stephen Pauker, Jonathan Halperin, Janet Maurer, Douglas K. Owens, Anna N.A. Tosteson, Brian Carlin, David Gutterman, Martin Prins, Sandra Zelman Lewis, Holger Schünemann

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Most panels that develop clinical practice guidelines are poorly equipped to address resource allocation or cost issues associated with management options. This risks neglect, arbitrariness, lack of transparency, and methodological flaws in consideration of resource allocation. We provide recommendations for guideline panels to promote greater transparency and rigor. We suggest focusing on resource allocation issues for only a limited number of recommendations and provide criteria for selecting those in which economic considerations are likely to influence the direction or strength of the recommendation. Panels should involve a health economist to assist with the systematic review and critical interpretation of relevant economic analyses. They should carefully define the intended audience and may consider issuing alternative recommendations when available resources vary widely across target clinical settings. Targeting a limited number of recommendations for the consideration of resource allocation issues, and ensuring methodologically high-quality review, will best serve guideline panels, and the health-care providers and patients they hope to assist.

Original languageEnglish
Pages (from-to)182-187
Number of pages6
JournalChest
Volume129
Issue number1
DOIs
StatePublished - Jan 2006

Keywords

  • Clinical practice guidelines
  • Evidence-based recommendations
  • Resource allocation

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