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Professional Regulation and Medical Guidelines

The Real Forces Behind the Development of Evidence-Based Guidelines

Book | 1st edition 2020 | Friso Johannes Jansen

'A most useful topical review of transparency in issues of contemporary medical law.' -- Phillip Taylor, The Barrister, 2020

Evidence-based medical guidelines are an inescapable element of current medical practice, but how are they developed? This book interrogates what causes these differences and similarities between guidelines and uncovers the mechanisms behind the development of medical practice guidelines.

Four case studies, on lower back pain and on type 2 diabetes in England and the Netherlands, are used to provide a detailed empirical account of the development of medical guidelines. Interviews with guideline developers are combined with a detailed analysis of guideline documents. Theories from science and technology studies, institutional literature, group decision-making, and professional self-regulation are used to demonstrate how the development of guidelines involves a series of subjective choices driven by economic, cultural, institutional and political frames.

Medical evidence plays a more limited and nuanced role in guideline construction than might be expected. Professional Regulation and Medical Guidelines sheds light on the power of experts and institutions to shape the governance of healthcare, and argues for greater transparency of the processes by which experts decide on the gold standard of care.

The book will be of interest to guideline developers, medical professionals, policy makers, sociologists and lawyers who are interested in the interaction of science and law. It provides rich empirical data into the often opaque and little understood world of rule-making by experts.


Dr Friso Jansen is Senior Law Lecturer at Birmingham City University and holds a DPhil in Socio-Legal Studies from the University of Oxford. He is an experienced academic with a particular focus on the interaction of science and law.

Technical info
More Information
Type of product Book
Format Paperback
EAN / ISSN 9781780688190 / 9781780689975
Weight 400 g
Status Available
Number of pages xvi
Access to exercice No
Publisher Intersentia
Language English
Publication Date Feb 3, 2020
Available on Jurisquare No
Available on Strada Belgique No
Available on Strada Europe No
Available on Strada Luxembourg No


  • Table of contents and preliminary pages
    Friso Johannes Jansen
  • Chapter 1. Introduction
    Friso Johannes Jansen
  • Chapter 2. Understanding Guidelines in their Academic Context
    Friso Johannes Jansen
  • Chapter 3. Guidelines in the Netherlands and England
    Friso Johannes Jansen
  • Chapter 4. Lower Back Pain: guidelines in England and the Netherlands
    Friso Johannes Jansen
  • Chapter 5. Type II Diabetes: Guidelines in England and the Netherlands
    Friso Johannes Jansen
  • Chapter 6. Guidelines in a Comparative Sense
    Friso Johannes Jansen
  • Chapter 7. Conclusion
    Friso Johannes Jansen
  • Bibliography
    Friso Johannes Jansen