Letters

Integrated care pathways increase use of guidelines

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7151.147b (Published 11 July 1998) Cite this as: BMJ 1998;317:147
  1. Denise Kitchiner, Chairman, National Pathways Association,
  2. Peter Bundred, Senior lecturer
  1. Royal Liverpool Children's NHS Trust (Alder Hey), Liverpool, L12 2AP
  2. Department of Primary Care, University of Liverpool, Liverpool

    EDITOR—The article by Campbell et al on integrated care pathways is timely.1 Recently several publications have suggested that pathways are a useful tool to promote effective clinical practice. 2 3

    Clinical effectiveness requires not only the development of evidence based guidelines but also that they are used in routine clinical practice. Many more guidelines are written than are implemented.4 The reasons for this are complex. They …

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