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From European to National guidelines on heart disease
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. (UCR)
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2011 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, Vol. 45, no 1, 3-13 p.Article, review/survey (Refereed) Published
Abstract [en]

Background/aims. Guidelines from the European Society of Cardiology are important tools for defining and establishing current standards of care for various heart diseases. The aim of the present paper is to describe the process of how these international guidelines may be transformed and implemented at a national level in Sweden. Methods/results. The structure and process behind the national guidelines for heart diseases in Sweden and their relationship to the underlying European guidelines are described and differences between the national and European levels highlighted. We also give examples of how the scientific values of health care measures are weighted against health economic perspectives and integrated in a prioritization process. Compared to the European guidelines, the Swedish national guidelines have a broader economic perspective and aim to ensure that health care is cost effective and provided to all Swedish citizens on equal terms. Discussion. When certain health care measures are implemented, the national process can result in other priorities than could be expected from the European guidelines alone. On the other hand, a forceful implementation may be facilitated by the societal context in which these national guidelines are produced.

Place, publisher, year, edition, pages
2011. Vol. 45, no 1, 3-13 p.
Keyword [en]
Guidelines, national, Sweden, heart disease, recommendations, prioritizations
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-148469DOI: 10.3109/14017431.2010.536566ISI: 000286827600001PubMedID: 21133643OAI: oai:DiVA.org:uu-148469DiVA: diva2:402349
Available from: 2011-03-08 Created: 2011-03-07 Last updated: 2012-07-05Bibliographically approved

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Lindahl, BertilWallentin, Lars
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