Guideline panellists have differing opinions on whether resource use should influence decisions on individual patients. As medical care costs rise, resource use considerations become more compelling, but panellists may find dealing with such considerations challenging In this last part of a series describing the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to making recommendations, the authors look at how guideline panellists and clinicians can incorporate matters related to the use of resources into recommendations and practice. Clinical recommendations inevitably involve judgments about the allocation of resources, judgments commonly referred to as costs. The authors will deal with some of the challenges of considering costs, explain reasons for focusing on resource use rather than costs, and discuss how to incorporate considerations of resource use into recommendations. Article from the BMJ - Volume 336, 24 May 2008. Source: http://www.bmj.com/content/336/7654/1170.full.pdf

GRADE health policy