To investigate how practice guidelines or recommendations can be appli
ed in the assessment of quality of care, 72 subjects beginning special
ty treatment for panic disorder were enrolled The Panic Outcomes Modul
e assessed symptoms, health status, and treatment at baseline and afte
r 8 weeks. using published guidelines, the authors developed specific
criteria to rate whether subjects' reports reflected appropriate treat
ment including antipanic medication or three or more subsequent visits
that involved antipanic behavioral therapy elements. Sixty-nine subje
cts (96%) completed the Panic Outcomes Module at both baseline and fol
low-up. improvement in symptoms and health status was not different be
tween subjects receiving appropriate and inappropriate care.