Chapter

Implementing clinical guidelines: a case study of research in context

George Dowswell and Stephen Harrison

in Shaping Health Policy

Published by Policy Press

Published in print October 2011 | ISBN: 9781847427588
Published online May 2012 | e-ISBN: 9781447305576 | DOI: http://dx.doi.org/10.1332/policypress/9781847427588.003.0017
Implementing clinical guidelines: a case study of research in context

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Evidence-based medicine has been a formal component of UK health policy since the early 1990s. This chapter presents a case study that refers to the implementation of clinical guidelines in primary care. The research upon which the chapter is based was a vehicle for understanding something about the policy, organisational and academic context in which it took place, and the manner in which this subsequently developed. The case study serves as a metaphorical vantage point from which to note that a good deal has in fact changed in relation to the changes in EBM, whose discourse has been partly undermined by a consistent political rhetoric in favour of consumer choice and ‘patient-centred’ health care.

Keywords: clinical guidelines; implementation; primary care; evidence-based medicine; consumer choice

Chapter.  5497 words. 

Subjects: Health, Illness, and Medicine

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