Addressing Issues of Face Validity in the Application of a Clinical Guideline

James Westphal, Sanjaya Kumar, Jill Rush and Ila C. Sarkar
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James Westphal: Louisiana State University Medical Center
Sanjaya Kumar: Louisiana Health Care Review, Inc.
Jill Rush: Louisiana State University Medical Center
Ila C. Sarkar: Louisiana Health Care Review, Inc.

Evaluation Review, 1997, vol. 21, issue 3, 379-387

Abstract: In 1995, a statewide project to improve the practice of electroconvulsive therapy (ECT) in the Medicare population was started in Louisiana. A retrospective baseline study found high concurrent utilization of lithium and benzodiazepines, medications considered detrimental to ECT by the second American Psychiatric Association Task Force on ECT. Resistance to a clinical guideline because of lack of face validity by clinicians was used as an opportunity to involve clinicians in using data to evaluate their clinical practices. Results of the first two quarters of the project demonstrated that the strategy was successful.

Date: 1997
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Persistent link: https://EconPapers.repec.org/RePEc:sae:evarev:v:21:y:1997:i:3:p:379-387

DOI: 10.1177/0193841X9702100313

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