Evidence map›Paper›PMID 11372577›Full record

ArticleHealth care analysis : HCA : journal of health philosophy and policy2001

Guidelines for appropriate care: the importance of empirical normative analysis.

M Berg, R T Meulen, M van den Burg

Abstract read
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In one paragraph

Article in Health care analysis : HCA : journal of health philosophy and policy, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Goals in their setting: a normative analysis of goal setting in physical rehabilitation.Health care analysis : HCA : journal of health philosophy and policy · 2004
    Article
  7. Article
  8. Review
  9. Efficiency, equity, and NICE clinical guidelines.BMJ (Clinical research ed.) · 2004
    Article
  10. Implicit normativity in evidence-based medicine: a plea for integrated empirical ethics research.Health care analysis : HCA : journal of health philosophy and policy · 2003
    Review
  11. Into the hidden world behind evidence-based medicine.Health care analysis : HCA : journal of health philosophy and policy · 2002
    Article
  12. Evidence-based medicine as an instrument for rational health policy.Health care analysis : HCA : journal of health philosophy and policy · 2002
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

M BergInstitute of Health Policy and Management, Erasmus University Rotterdam, L4-117, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. M.Berg@bmg.eur.nl
R T Meulen
M van den Burg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Royal Dutch Medical Association recently completed a research project aimed at investigating how guidelines for 'appropriate medical care' should be construed. The project took as a starting point that explicit attention should be given to ethical and political considerations in addition to data about costs and effectiveness. In the project, two research groups set out to design guidelines and cost-effectiveness analyses (CEAs) for two circumscribed medical areas (angina pectoris and major depression). Our third group was responsible for the normative analysis. We undertook an explorative, qualitative pilot study of the normative considerations that played a role in constructing the guidelines and CEAs, and simultaneously interviewed specialists about the normative considerations that guided their diagnostic and treatment decisions. Explicating normative considerations, we argue, is important democratically: the issues at stake should not be left to decision analysts and guideline developers to decide. Moreover, it is a necessary condition for a successful implementation of such tools: those who draw upon these tools will only accept them when they can recognize themselves in the considerations implied. Empirical normative analysis, we argue, is a crucial tool in developing guidelines for appropriate medical care.

Indexed as

Cost-Benefit AnalysisEmpirical ResearchPractice Guidelines as TopicAngina PectorisDecision TreesDepressive DisorderEthics, MedicalHealth Care RationingHumansNetherlandsPilot ProjectsPrimary Health CareSocial ValuesValue of LifeEmpirical ApproachHealth Care and Public Health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.