Considerations on the Improved Integration of Medical Guidelines into Routine Clinical Practice - a Review and Concept Proposal Überlegungen zur Weiterentwicklung der Integration medizinischer Leitlinien in den Versorgungsalltag - Review und Konzeptvorschlag

Medical guidelines have become established as the standard for the comprehensive synopsis of all available information (scientific trials, expert opinion) on diagnosis and treatment recommen- dations. The transfer of guidelines to clinical prac- tice and subsequent monitoring has however proven difficult. In particular the potential inter- action between guideline developers and guide- line users has not been fully utilised. This review article analyses the status quo and existing meth- odological and technical information solutions supporting the guideline life cycle. It is shown that there are numerous innovative develop- ments that in isolation do not provide compre- hensive support. The vision of the "Living Guide- lines 2.0" is therefore presented. This outlines the merging of guideline development and imple- mentation on the basis of clinical pathways and guideline-based quality control, and building on this, the generation of information for guideline development and research. Deutsche Krebsgesellschaft e.V. " medical guidelines l " evidence based medicine l " clinical pathways