• Gunter Ollenschläger, Christian Thomeczek, Frank Thalau, Lothar Heymans, Henning Thole, Henrike Trapp, Sylvia Sänger, and Monika Lelgemann.
• Arztliches Zentrum für Qualität in der Medizin AZQ, Berlin. go@azq.de
• Z Arztl Fortbild Qualitatssich. 2005 Feb 1; 99 (1): 7-13.

AbstractThe role of clinical practice guidelines (CPG) as a tool for continuous medical education (CME), and quality management in health care is now widely accepted in Germany. Since the 90ies, the physicians' professional associations as well as health care authorities and parliament have been introducing several incentives and regulations in order to promote the use of evidence based CPG. In the past German CPG agencies have been focussing their work on developing and optimising methodological CPG standards. Future CPG activities should address much more other key factors for the success of CPGs, such as medical relevance, practicability, effective dissemination, and implementation. The article describes the process of guideline adaptation by regional physician audit groups as a tool for CPG implementation.

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