BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6942.1511a (Published 04 June 1994) Cite this as: BMJ 1994;308:1511
  1. J Grimshaw
  1. Health Services Research Unit, Department of Public Health, University of Aberdeen, Aberdeen AB9 2ZD.

    EDITOR, - J D Swales1 has misconstrued Gene Feder's message2 about the importance of ensuring that the way in which guidelines are developed is clear to potential users. Guidelines can change medical practice and lead to improved outcomes for patients.3 To achieve this, however, people who use guidelines (including clinicians, purchasers, and providers) …

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