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Diversity in Clinical Guidelines: The role of repertoires of Evaluation

Moreira, T.



Clinical practice guidelines are one of the main tools by which clinicians, policy makers and patients hope to make health care less variable, more reliable and efficient, but there is little understanding of the processes by which clinical guidance is put together by guideline groups. This paper describes the social organisation of knowledge within clinical practice guideline development processes by drawing on the sociology of situated judgement. Two guideline development processes were observed, and the development group meetings (N=21) recorded and analysed qualitatively. Data analysis suggested that clinical guidance comes to existence through the combination of repertoires of evaluation, organised around four different epistemic criteria: robustness, usability, acceptability and adequacy. This research provides a detailed and layered understanding of the knowledge dynamics involved in developing recommendations for appropriate health care for specific clinical circumstance.


Moreira, T. (2005). Diversity in Clinical Guidelines: The role of repertoires of Evaluation. Social Science & Medicine, 60(9), 1975-1985.

Journal Article Type Article
Publication Date 2005-05
Deposit Date Mar 15, 2007
Journal Social science and medicine
Print ISSN 0277-9536
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 60
Issue 9
Pages 1975-1985
Keywords Clinical practice guidelines, Clinical guideline development, Evaluation, UK.