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

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dc.creatorMiranda Langendam
dc.creatorThomas Piggott
dc.creatorMonika Nothacker
dc.creatorArnav Agarwal
dc.creatorDavid Armstrong
dc.creatorTejan Baldeh
dc.creatorJeffrey Braithwaite
dc.creatorCarolina de Castro Martins
dc.creatorAndrea Darzi
dc.creatorItziar Etxeandia
dc.creatorIvan Florez
dc.creatorJan Hoving
dc.creatorSamer Karam
dc.creatorThomas Kötter
dc.creatorJoerg Meerpohl
dc.creatorReem Mustafa
dc.creatorGiovanna Muti-Schünemann
dc.creatorPhilip van der Wees
dc.creatorMarkus Follmann
dc.creatorHolger Schünemann
dc.date.accessioned2024-04-10T19:35:59Z
dc.date.accessioned2025-09-09T01:26:28Z
dc.date.available2024-04-10T19:35:59Z
dc.date.issued2020-09
dc.description.sponsorshipOutra Agência
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s12913-020-05665-w
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/1843/67036
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBMC Health Services Research
dc.rightsAcesso Aberto
dc.subjectHealth planning guidelines
dc.subjectHealth status indicators
dc.subjectQuality improvement
dc.subjectQuality assurance, health care
dc.subject.otherGuidelines
dc.subject.otherRecommendations
dc.subject.otherQuality improvement
dc.subject.otherQuality assurance
dc.titleApproaches of integrating the development of guidelines and quality indicators: a systematic review
dc.typeArtigo de periódico
local.citation.spage875
local.citation.volume20
local.description.resumoBackground: Guidelines 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. Methods: On 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. Conclusions: In 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.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05665-w

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