Approaches of integrating the development of guidelines and quality indicators: a systematic review

被引：25

作者：

Langendam, Miranda W. ^{[1
]}

Piggott, Thomas ^{[2
]}

Nothacker, Monika ^{[3
]}

Agarwal, Arnav ^{[4
]}

Armstrong, David ^{[5
]}

Baldeh, Tejan ^{[1
]}

Braithwaite, Jeffrey ^{[6
]}

Martins, Carolina Castro ^{[2
,7
]}

Darzi, Andrea ^{[2
]}

Etxeandia, Itziar ^{[8
]}

Florez, Ivan ^{[1
,9
]}

Hoving, Jan ^{[10
]}

Karam, Samer G. ^{[2
]}

Koetter, Thomas ^{[11
]}

Meerpohl, Joerg J. ^{[12
,13
]}

Mustafa, Reem A. ^{[2
,14
]}

Muti-Schunemann, Giovanna E. U. ^{[15
]}

van der Wees, Philip J. ^{[16
]}

Follmann, Markus ^{[17
]}

Schunemann, Holger J. ^{[2
,18
,19
]}

机构：

[1] Univ Amsterdam, Dept Clin Epidemiol Biostat & Bioinformat, Amsterdam UMC, Amsterdam Publ Hlth Inst, Amsterdam, Netherlands

[2] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada

[3] Assoc Sci Med Soc, Inst Med Knowledge Management, Berlin, Germany

[4] Univ Toronto, Dept Med, Toronto, ON, Canada

[5] McMaster Univ, Farncombe Family Digest Hlth Res Inst, Hamilton, ON, Canada

[6] Macquarie Univ, Australian Inst Hlth Innovat, Level 6,75 Talavera Rd, Sydney, NSW, Australia

[7] Univ Fed Minas Gerais, Sch Dent, Dept Pediat Dent, Belo Horizonte, MG, Brazil

[8] IKOetxe Ikerkuntza Osaungintza, Hlth Res, Irun, Basque Country, Spain

[9] Univ Antioquia, Dept Pediat, Medellin, Colombia

[10] Univ Amsterdam, Coronel Inst Occupat Hlth & Res Ctr Insurance Med, Amsterdam UMC, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

[11] Univ Med Ctr Schleswig Holstein, Inst Family Med, Campus Lubeck, Lubeck, Germany

[12] Univ Freiburg, Med Ctr, Inst Evidence Med, Freiburg, Germany

[13] Univ Freiburg, Fac Med, Freiburg, Germany

[14] Univ Kansas, Med Ctr, Dept Internal Med, Lawrence, KS 66045 USA

[15] Univ Vita Salute San Raffaele, Dept Syst Pathol, Milan, Italy

[16] Radboud Univ Nijmegen Med Ctr, Dept Rehabil & IQ Healthcare, Radboud Inst Hlth Sci, Nijmegen, Netherlands

[17] German Canc Soc, Freiburg, Germany

[18] McMaster Univ, Dept Med, Hamilton, ON, Canada

[19] McMaster Univ, Hlth Sci Ctr, Dept Hlth Res Methods Evidence & Impact, Room 2C16,1280 Main St West, Hamilton, ON L8N 4K1, Canada

来源：

BMC HEALTH SERVICES RESEARCH | 2020年 / 20卷 / 01期

关键词：

Guidelines; Recommendations; Quality improvement; Quality assurance; PERFORMANCE-MEASURES; OF-CARE; MANAGEMENT; SELECTION; DISEASE; METHODOLOGY; CRITERIA;

D O I：

10.1186/s12913-020-05665-w

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundGuidelines and quality indicators (for example as part of a quality assurance scheme) aim to improve health care delivery and health outcomes. Ideally, the development of quality indicators should be grounded in evidence-based, trustworthy guideline recommendations. However, anecdotally, guidelines and quality assurance schemes are developed independently, by different groups of experts who employ different methodologies. We conducted an extension and update of a previous systematic review to identify, describe and evaluate approaches to the integrated development of guidelines and related quality indicators.MethodsOn May 24th, 2019 we searched in Medline, Embase and CINAHL and included studies if they reported a methodological approach to guideline-based quality indicator development and were published in English, French, or German.Results: Out of 16,034 identified records, we included 17 articles that described a method to integrate guideline recommendations development and quality indicator development. Added to the 13 method articles from original systematic review we included a total 30 method articles. We did not find any evaluation studies. In most approaches, guidelines were a source of evidence to inform the quality indicator development. The criteria to select recommendations (e.g. level of evidence or strength of the recommendation) and to generate, select and assess quality indicators varied widely. We found methodological approaches that linked guidelines and quality indicator development explicitly, however none of the articles reported a conceptual framework that fully integrated quality indicator development into the guideline process or where quality indicator development was part of the question formulation for developing the guideline recommendations.ConclusionsIn our systematic review we found approaches which explicitly linked guidelines with quality indicator development, nevertheless none of the articles reported a comprehensive and well-defined conceptual framework which integrated quality indicator development fully into the guideline development process.

引用

页数：11

共 40 条

[1]

Advani Aneel, 2003, AMIA Annu Symp Proc, P11

[2]

AHRQ, 1995, US CLIN PRACT GUID E, V2

[3]

[Anonymous], 1995, Qual Lett Healthc Lead, V7, P21

[4]

[Anonymous], 2010, ALLG METH RAHM SEKT

[5]