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Previously developed guidelines for redressing the same problem or a related one should be assessed. If those guidelines are applicable to the current circumstance or can be adapted, new guidelines may not be required. It is important, however, to assess the previously developed guidelines according to the principles discussed in this document, particularly in terms of the quality of the evidence on which they are based. If the old guidelines have been implemented, establish whether they were effective. Although they may be considered acceptable, it may still be necessary to take steps to evaluate their effectiveness in clinical practice.
3.2 Convene a multidisciplinary panel to oversee the development of the guidelines
The overseeing panel should consist of representatives of all relevant groups. The panel’s precise composition will depend on the nature of the guidelines but should be designed to encourage the expression of diverse interests. In general, consideration should be given to involving the following groups, as appropriate:
• clinicians from all disciplines with relevant specialist expertise;
• clinicians with general expertise;
• other relevant health professionals;
• representatives of consumer groups;
• experts in research methods relevant to guideline development;
• health economists;
• public policy analysts;
• other relevant experts;
• industry representatives;
• bioethicists; and
• representatives of regulatory agencies.
To ensure that decision making takes full account of the consumer perspective, the panel may need to establish a separate consumer focus group to identify all the relevant consumer concerns.
Workshops for members of guideline development working parties may be beneficial in bringing together multidisciplinary groups as well as consumers to consider the need for clinical practice guidelines and the methods to be used in their preparation, dissemination, implementation, evaluation and revision.
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