Ao. Carter et al., PROCEEDINGS OF THE 1994 CANADIAN CLINICAL-PRACTICE GUIDELINES NETWORKWORKSHOP, CMAJ. Canadian Medical Association journal, 153(12), 1995, pp. 1715-1719
A workshop on the Clinical Practice Guidelines (CPG) Network was held
in Ottawa on Oct. 31 and Nov. 1, 1994. Five plenary sessions focused o
n CPGs and the roles of organizations, priority setting, dissemination
and implementation, evaluation, and establishment of a network of ind
ividuals and organizations active in the CPG field. In general, the pa
rticipants identified consumers as important stakeholders in CPG proce
sses and agreed that there was a role for national coordination and in
formation gathering; however, local and regional bodies have a role in
CPG development, dissemination and implementation. Burden of illness
and likeliness that the guidelines would affect the burden were key cr
iteria for setting priorities. Eighteen high-priority topics were iden
tified for CPG development and dissemination. Methods to enhance the e
ffectiveness of dissemination and implementation were identified; impr
oved funding, enhanced research and decreased duplication of effort. B
arriers to CPG evaluation were lack of funding and inadequate data sou
rces. Voluntary self-audit was the preferred evaluation method. The pa
rticipants agreed on three important functions of the network: facilit
ation; cooperation and communication, operation of a central CPG infor
mation centre; and provision of expertise in CPG processes. They also
agreed to the use of existing organization as a secretariat for the ne
twork, with a voluntary, informal membership of all those interested.