The unsaid word.
نویسنده
چکیده
We are masters of the unsaid words, but slaves of those we let slip out. Winston S. Churchill The US health system is in the midst of a large (and now unpredictable) transformation. There are, in development, a large number of metrics to assess the quality and cost of cardiac care. Assuming these continue to be employed, they will impact on physician and hospital reimbursement, changing the incentive landscape in US medicine. The core of these metrics are the ACC/AHA guidelines. Each metric must show content validity and that is judged by expert panels such as the National Quality Forum and other entities. Often the metric is initiated by the Centers forMedicare andMedicaid Services. Validity is largely based on the degree the metric incorporates the guideline related to it. Consequently, the guidelines have an important role in the economics and practice of medicine in the United States. Once laid down, the guideline will have impact through metric development. Conversely, avoiding a guideline statement in a gray area retains flexibility in practice. Comparing the European and US guidelines selected by Stirrup, et al, there are many similar positions. There are a few differences. And there are lots of omissions. Let us first look at some of the guidelines where there is consensus.
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ورودعنوان ژورنال:
- Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
دوره 24 3 شماره
صفحات -
تاریخ انتشار 2017