Clinical practice guidelines issued by specialty societies in North America often call for greater use of services associated to their own specialties, and at times contradict European guidelines and those from independent North American groups, according to a commentary published in the Canadian Medical Association Journal.
In addition, the authors wrote that specialty organizations from nations with fee-for-service health care systems, such as the United States, often recommend more intensive diagnostic and treatment guidelines. This constitutes a conflict of interest that, along with
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