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Good News, Bad News, or No News?

A. John Rush, MD

Arch Gen Psychiatry. 1993;50(6):483-490.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Clinical practice guidelines for primary care providers that address the detection, diagnosis, and treatment of depression may have an impact on psychiatric practice as well as on general medical education and the research agenda. This commentary highlights the conceptual and scientific issues that surrounded the development of these guidelines and speculates on their potential practical impact, particularly on psychiatry.

The Agency for Health Care Policy and Research (AHCPR) within the US Department of Health and Human Services was established in December 1989. This agency, which is at the same level as the US Food and Drug Administration, has as one of its many missions the development of clinical practice guidelines. Practice guideline efforts have also been launched by a variety of medical groups, including the American Psychiatric Association.

The conditions addressed by the first seven AHCPR guidelines include sickle cell disease, benign prostatic hypertrophy, pain, pressure . . . [Full Text PDF of this Article]

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