Why are only recommendations formulated and no guidelines issued?
smarter medicine does not want to and cannot issue new regulations, but can provide guidance in medical grey areas. Only in this way is it possible to address the individual situation of each patient. It is not possible to treat patients exclusively according to guidelines without addressing their individual needs.
See also article by Regula Capaul in special issue 'Primary and Hospital Care'.
Experiences from the NICE campaign in the UK have also shown that restrictive pressure leads to refusal. Instead, a broad network of all actors is needed to credibly communicate the core message that "less is sometimes more". Patients must never get the feeling that something is being withheld from them; they must always be convinced that the best possible treatment is available to them at all times.
