Article Text

SP0028 Are Guidelines Really Changing Outcomes?
  1. C. Bombardier1,2
  1. 1Rheumatology, Mt Sinai Hospital
  2. 2Medicine, Uniersity of Toronto, Toronto, Canada


Improving health outcomes in patients requires the timely and effective integration of research evidence into clinical practice. However, transfer of evidence into routine care can be slow and unpredictable. A number of clinical practice guidelines have been published linking specific practice recommendations to improved patient outcomes. We now recognize that guidelines alone do not necessarily result in a change in practice. To accelerate practice changes, Quality Indicators have been proposed to measure whether specific practice guidelines have been adhered to in routine practice. Indeed examination of the quality of arthritis care suggests that patients may still not be getting the right care at the right time: there remains significant variations in care, delays to treatments and slow uptake of therapeutic advances. These findings suggest that, to improve patient outcomes, clinical practice guidelines must be supplemented with strategies that measure and evaluate if care provided in daily clinical settings adheres to current recommendations for best practices.

Disclosure of Interest None Declared

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