Clinical practice guidelines and organizational adaptation: A framework for analyzing economic effects

John E. Schneider, N. Andrew Peterson, Thomas E. Vaughn, Eric N. Mooss, Bradley Doebbeling

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objectives: The overall objective of this article was to review the theoretical and conceptual dimensions of how the implementation of clinical practice guidelines (CPGs) is likely to affect treatment costs. Methods: An important limitation of the extant literature on the cost effects of CPGs is that the main focus has been on clinical adaptation. We submit that the process innovation aspects of CPGs require changes in both clinical and organizational dimensions. We identify five organizational factors that are likely to affect the relationship between CPGs and total treatment costs: implementation, coordination, learning, human resources, and information. We review the literature supporting each of these factors. Results: The net organizational effects of CPGs on costs depends on whether the cost-reducing properties of coordination, learning, and human resource management offset potential cost increases due to implementation and information management. Conclusions: Studies of the cost effects of clinical practice guidelines should attempt to measure, to the extent possible, the effects of each of these clinical and organizational factors.

Original languageEnglish (US)
Pages (from-to)58-66
Number of pages9
JournalInternational Journal of Technology Assessment in Health Care
Volume22
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Fingerprint

Practice Guidelines
Economics
Costs and Cost Analysis
Health Care Costs
Learning
Information Management

Keywords

  • Clinical practice guidelines
  • Cost effectiveness analysis
  • Economic efficiency
  • Process innovation

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Informatics
  • Health Information Management
  • Nursing(all)

Cite this

Clinical practice guidelines and organizational adaptation : A framework for analyzing economic effects. / Schneider, John E.; Peterson, N. Andrew; Vaughn, Thomas E.; Mooss, Eric N.; Doebbeling, Bradley.

In: International Journal of Technology Assessment in Health Care, Vol. 22, No. 1, 01.2006, p. 58-66.

Research output: Contribution to journalArticle

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