2005 Vol.6 No.2

92 10-11

17.8%

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Cochrane Library

2005 Vol.6 No.2

Prospective Payment System, PPS

Managed Care, MC

The National

Academy of Sciences IOM

The Institute of Medicine

Clinical guidelines

Eddy 1990

Clinical guidelines

Clinical practice guidelines

Clinical Path

,

critical path-

way, clinical pathway, critical path, clinical

protocol, care map, care track

1980 1990

National guideline clearing house

AHRQ Agency for Healthcare

Research and Quality American Med-

ical Association AMA American As-

sociation of Health Plans AAHP

IDS

977

PDA

European Union

2005 Vol.6 No.2

Appraisal of Guidelines

for Research and Evaluation in Europe

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moso G et al, Cates et.al., 2001

2.

IOM; Bouvenot J.et al,

2002

Tunis et al, 1994; Hayward et al, 1997;

Olesen F et al, 1997; Flores et.al.,

2000

3.

clinical flexibility IOM; Flores et.al,

2000

Wolff HM et al, 1998; Flores et.al.,

2000 Flores

et.al., 2000; Cynthia M Farquhar,

2002

4.

Cates et.al.,

2001; Bouvenot J.et al, 2002

5. Tunis et

al, 1994; Grilli R.et. al., 1996; James PA

et al, 1997; Flores et.al., 2000; Stoddard

JJ., Cynthia M Farquhar, 2002

Tunis et al, 1994; Cyn-

thia M Farquhar 2002

2005 Vol.6 No.2

Warner, 1998

Davis et.al., 1997; Carrick, 1998;

Flores et.al., 2000; Cynthia M Farquhar,

2002

1990

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7

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2005 Vol.6 No.2

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450 63

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562 100.0

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Q301 9.23 1.51

Q302 8.69 1.97

Q303 5.86 2.95

Q304 8.26 2.20

Q305 2.29 2.62

Q306 4.29 3.07

Q307 5.28 2.57

Q308 5.40 3.02

Q309 8.70 1.80

Q310 7.18 2.60

Q311 8.65 2.02

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2005 Vol.6 No.2

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2005 Vol.6 No.2

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Davis

et.al. 1997

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2005 Vol.6 No.2

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1994

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Stoddard JJ. 2002

Rao et al. 2002

MRI Zwar N. 2002

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1994 68%

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2002

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2005 Vol.6 No.2

2005 Vol.6 No.2

Mitchell et al. 2000

Bertakis et al. 1999

Mckay

et al. 1999

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8.00

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2.00

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6.00

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2005 Vol.6 No.2

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2005 Vol.6 No.2

7.70

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1.00

2.00

3.00

4.00

5.00

6.00

7.00

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2005 Vol.6 No.2

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Clearing House

Cochrane Library

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3.

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2005 Vol.6 No.2

1. Practice guidelines in Taiwan

2001-2002 129-36

2. 2002

3. 2002 --

39 29-33

4. Bouvenot J, Gentile S, Ousset S,

Tardieu S, Jouve E, Mendizabal H,

Sambuc R. Factors influencing the ap-

propriation of clinical guidelines by

physicians [Article in French][Ab-

stract]Presse Med. 2002 Nov 23;31 (39

Pt 1):1831-5.

5. Carrick SE; Bonevski B; Redman S;

Simpson J; Sanson-Fisher RW; Webster

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6. Cates JR; Young DN; Guerriero DJ;

Jahn WT; Armine JP; Korbett AB;

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clinical practice guidelines. J Manipula-

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170-6.

7. Cynthia M Farquhar, Emma W Kofa

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ment in:Med J Aust. 2003 Apr 7;178

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355-6.

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B. Pediatricians attitudes, beliefs, and

practices regarding clinical practice

guidelines: a national survey. Pediatrics.

2000 Mar; 105 (3 Pt 1): 496-501.

11. Formoso G, Liberati A, Magrini N.

Practice guidelines: useful and "partic-

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physicians by professional setting. Arch

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23. Com-ment in:CMAJ. 1997 Dec 1; 157

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jeroni BA. Family physicians' attitudes

about and use of clinical practice guide-

lines. J Fam Pract. 1997 Oct;45(4):341-

7.

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18. Stoddard JJ. Grossmen JM. Rudell LS.

Physicians more likely to face quality

incentives than incentives that may re-

strain care. [Abstract] Issue Brief/

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19. Tunis, S.R.; Hayward, R.S.; Wil-son,

M.C.; et al. Internists' attitudes about

clinical practice guidelines. Ann. Intern.

Med., 1994,120, 956-63.

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T, Doebbeling BN, Clarke WR, Wool-

son RF. Physician knowledge, attitudes

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mented guideline. J Eval Clin Pract.

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follow-up. Family Practice. 19(1):12-7,

2002 Feb.

2005 Vol.6 No.2

A study on factors that influence physicians’ willingness for implementa-

tion of clinical practice guidelins was performed through a structured question-

naire. The clinical practice guidelines that have the characteristics such as

match the evidence-based medicine made by association of specialist

flexible in use proctective role in legal events national level

available on journals and monitoring by an independent organization will

be favored by physicians in Taiwan.

2005 Vol.6 No.2