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Silberman, assistant director, Program Evaluation and Methodology Division, letter dated October 16, 1989, to medical specialty societies)
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by an appreciable but not unanimous majority of people." (Note in the section below that Eddy requires more stringent agreement for a standard.) Lucien Leape (1990:43~: Practice guidelines are "standardized specifications for care developed by a formal process that incorporates the best scientific evidence of effectiveness with expert opinion."
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