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, recommends that "screening of workers for noise-induced hearing loss should be performed in the context of existing worksite programs and occupational medicine guidelines." Such a statement may have some value for patients or clinicians without itself generating a review criterion in the context considered in this report. Definition of Appropriate Care Because the concept of appropnate care or appropriateness is crucial to the committee's definition of practice guidelines and is itself the subject of some differences and confusion in usage, the committee considered it necessary to explicitly define this concept.
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