in austria there are two main sources of law concerning quality in health system : the  gesundheitsqualittsgesetz ( health quality law ) and the so - called  vereinbarung gem artikel 15a b - vg ( agreement according to article 15a of the federal constitution ) which regulates organisation and financing of the health care system . both postulate transsectoral , transdisciplinal and evidence - based health care although there is no systematic approach for putting this aim into practice yet . a national strategy for guideline development shall be designed and published as an own guideline , the so - called  meta - leitlinie. this consistent method assures that international accepted rules of guideline development as well as national boundaries , such as legal aspects and practice of health care delivery are considered in future guideline development . to follow the principle of transsectoral and transdisciplinal guidelines an expert panel , consisting of main stakeholders of health care system as well as representatives of health professionals and patients , guides the whole development process and assures consensual and accepted outcomes . as experiences of the current development of national health care guidelines are integrated in the development of the  meta - leitlinie and lead to the fact that both development processes influence each other . the practical guideline development provides the opportunity to learn from the practice while defining the methodical framework . the first draft of the guideline is expected to undergo a national public consultation process in summer 2009 and shall be discussed with some international experts until the end of 2009 . development and implementation of a national framework for guideline development in health care system is a great challenge and means the integration of different perceptions and requirements . the chosen way of integrating evidence and expertise as well as learning from practical guideline development work is challenging but seams to assure acceptance and practicability of the final results .
contextin austria there are two main sources of law concerning quality in health system : the  gesundheitsqualittsgesetz ( health quality law ) and the so - called  vereinbarung gem artikel 15a b - vg ( agreement according to article 15a of the federal constitution ) which regulates organisation and financing of the health care system . 
 both postulate transsectoral , transdisciplinal and evidence - based health care although there is no systematic approach for putting this aim into practice yet.purposea national strategy for guideline development shall be designed and published as an own guideline , the so - called  meta - leitlinie. this consistent method assures that international accepted rules of guideline development as well as national boundaries , such as legal aspects and practice of health care delivery are considered in future guideline development.descriptionto follow the principle of transsectoral and transdisciplinal guidelines an expert panel , consisting of main stakeholders of health care system as well as representatives of health professionals and patients , guides the whole development process and assures consensual and accepted outcomes . as this approach is novel , 
 the whole process is proposed as work in progress.conclusionsexperiences of the current development of national health care guidelines are integrated in the development of the  meta - leitlinie and lead to the fact that both development processes influence each other . 
 the practical guideline development provides the opportunity to learn from the practice while defining the methodical framework.the first draft of the guideline is expected to undergo a national public consultation process in summer 2009 and shall be discussed with some international experts until the end of 2009.discussiondevelopment and implementation of a national framework for guideline development in health care system is a great challenge and means the integration of different perceptions and requirements . the chosen way of integrating evidence and expertise as well as learning from practical guideline development work is challenging but seams to assure acceptance and practicability of the final results .