TY - JOUR
T1 - Clinical practice guidelines and organizational adaptation
T2 - A framework for analyzing economic effects
AU - Schneider, John E.
AU - Peterson, N. Andrew
AU - Vaughn, Thomas E.
AU - Mooss, Eric N.
AU - Doebbeling, Bradley N.
PY - 2006/1
Y1 - 2006/1
N2 - 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.
AB - 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.
KW - Clinical practice guidelines
KW - Cost effectiveness analysis
KW - Economic efficiency
KW - Process innovation
UR - http://www.scopus.com/inward/record.url?scp=33644858545&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33644858545&partnerID=8YFLogxK
U2 - 10.1017/S0266462306050847
DO - 10.1017/S0266462306050847
M3 - Review article
C2 - 16673681
AN - SCOPUS:33644858545
SN - 0266-4623
VL - 22
SP - 58
EP - 66
JO - International Journal of Technology Assessment in Health Care
JF - International Journal of Technology Assessment in Health Care
IS - 1
ER -