gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Incorporating evidence based guidance into German healthcare policy, system & practice – 1997 until 2012. Procedures, results, future developments

Meeting Abstract

  • G. Ollenschlaeger - German Agency for Quality in Medicine AEZQ, Berlin, Germany; Faculty of Medicine, University of Cologne, Cologne, Germany
  • S. Weinbrenner - German Agency for Quality in Medicine AEZQ, Berlin, Germany
  • C. Thomeczek - German Agency for Quality in Medicine AEZQ, Berlin, Germany
  • M. Nothacker - German Agency for Quality in Medicine AEZQ, Berlin, Germany
  • C. Schaefer - German Agency for Quality in Medicine AEZQ, Berlin, Germany
  • R. Klakow-Franck - German Medical Association BAEK, Berlin, Germany
  • F. Diel - National Ass. of Statutory Health Insurance Physicians KBV, Berlin, Germany
  • G. Jonitz - German Medical Association BAEK, Berlin, Germany
  • A. Koehler - National Ass. of Statutory Health Insurance Physicians KBV, Berlin, Germany

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocO03

DOI: 10.3205/12gin035, URN: urn:nbn:de:0183-12gin0359

Published: July 10, 2012

© 2012 Ollenschlaeger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Background: The concept of evidence based guidelines (EBCPGs) was introduced in Germany in 1996. Since then a variety of procedures, tools and organizational developments have been established to safeguard sustainable development and use of national EBCPGs.

Context: The presentation will give an overview on the guideline activities of the German physicians' umbrella organizations over a period of 15 years, its results, as well as on lessons learned and future developments.

Description of best practice: National Guideline Agency founded by the German Medical Self-Administration (1995). Activities of this organization: Guideline for Guidelines (1996), standards and procedures for Guideline Clearinghouse (1997), German Network for Evidence based Medicine co-founded (membership >800 in 2012), Guideline for EB Patient Information (1999), Guideline and Patient Information Clearinghouses (1999), networking with internat. EBCPG projects (starting in 1999), national consensus on standards for EBCPGs (2000), G-I-N co-founder (2002), program for multiprofessional Disease Management EBCPGs - with compulsory patient participation (2002), standards for EBCPGs based quality measures (2006), German Medical e-Library (2009), implementation projects (start in 2010).

Lessons learned:

Key points for setting up a sustainable national EBCPG system:

1.
organisational CPG co-ordination,
2.
national & internat. networking between health care providers, researchers, patient/public and policy makers on individual and organizational levels,
3.
adaptation of international best practice procedures and tools.

Major problem to be solved in the future:

1.
EBCPGs use in daily healthcare,
2.
stakeholders' conflicts of interest,
3.
limited resources for EBCPG development & implementation,
4.
few data on cost-benefit relationship of EBCPGs.