Implementing Clinical Guidelines: Social Influence Strategies and Practitioner Behavior Change

by Brian Mittman, Xenia Tonesk, Peter Jacobson


Purchase Print Copy

 FormatList Price
Add to Cart Paperback10 pages Free

Clinical practice guidelines derived from effectiveness, out-comes, and appropriateness research are the focus of intensive research and policy activity within the U.S. health care system. Although diverse in their structure, guidelines are intended to serve as tools by which scientifically valid and reliable standards of clinical practice can be implemented. Guidelines both incorporate and provide reliable information about the risks and benefits of treatment and management strategies for specific clinical conditions and/or the appropriate use of medical interventions. Proponents contend that well-designed practice guidelines will lead to more effective and efficient use of scarce medical resources and to improved clinical outcomes.

Originally published in: Quality Review Bulletin, v. 18, no. 12, December 1992, pp. 413-422.

This report is part of the RAND Corporation Reprint series. The Reprint was a product of the RAND Corporation from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.