There are guidelines for P4P, so why not better guidelines for patient care?  What is the #1 priority?  BD 

According to survey results released, when 2007 Cardiometabolic Health Congress participants were asked what guidelines they follow for treating patients with multiple cardiovascular and metabolic risk factors, the largest group of respondents indicated that they didn't follow any particular set of guidelines and that better guidelines are needed.
The survey queried more than 750 cardiology, endocrinology, nephrology, and primary care clinicians who attended the 2007 Cardiometabolic Health Congress here in September.

The survey results indicate a clear lack of consensus among clinicians on how to screen, diagnose, and manage patients at increased risk. For example, when congress participants were asked, "When treating patients with multiple cardiometabolic risk factors, what is your highest priority?

With Obesity, Diabetes, And Cardiovascular Disease On The Rise, Physicians Need More Comprehensive Guidelines

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