Unravelling Education Needs for Clinical Practice Guideline Development: A Survey Performed in the Netherlands

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2024-12-19 DOI:10.1111/jep.14274

Chloé A. de Mortier, Mirthe J. Klein Haneveld, Daniëlle M. L. Verstegen, Ghislaine A. P. G. van Mastrigt, Aggie T. G. Paulus, Silvia M. A. A. Evers, Dunja H. H. Dreesens, Marian H. J. M. Majoie

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引用次数: 0

Abstract

Objective

The development of clinical practice guidelines (CPG) has evolved into a rigorous and complex process. There is a need for training of CPG developers including methodologists, panel members and patient representatives. This study explored the educational needs and experiences of CPG developers, with specific attention to the patient perspective and economic considerations.

Study Design and Setting

An anonymised mixed-method survey was distributed among CPG developers and panel members in the Netherlands. The survey, developed in collaboration with Dutch CPG development organisations and patient organisations, aimed to capture insights into the developers' roles, training needs, and the incorporation of economic considerations and patient perspectives in CPG development. Data analysis involved qualitative content analysis and descriptive quantitative analysis.

Results

A total of 271 responses were analysed. Respondents described role-specific tasks and tasks overlapping between roles. Experience, guidance, and training influenced the respondents' feeling of preparedness for their tasks. Respondents expressed the need for content-related training, including CPG development methodology. They also raised the importance of process-related topics in training, such as the inclusion of different perspectives and responsibilities during CPG development. About half of the respondents (46%) indicated that economic considerations were included in their CPGs, however, there was no uniformity in approach. The patient perspective was included by 89% of the respondents, also in varying manners. Overall, respondents underscored the importance of both topics in CPG development (training) to ensure a future-proof healthcare system.

Conclusion

This study underscores the importance of tailored CPG development training programmes addressing the specific competencies required for the different roles in CPG development. Thereby, recognising a holistic approach encompassing both content- and process-related aspects. Addressing economic considerations and the patient perspective in training will contribute to CPGs that support a patient-centred and sustainable healthcare system.

查看原文本刊更多论文

阐明临床实践指南发展的教育需求：在荷兰进行的一项调查。

目的：临床实践指南（CPG）的制定已经演变成一个严格而复杂的过程。有必要培训CPG开发人员，包括方法学家、小组成员和患者代表。本研究探讨了CPG开发者的教育需求和经验，特别关注患者的观点和经济考虑。研究设计和背景：在荷兰的CPG开发者和小组成员中进行了一项匿名混合方法调查。这项调查是由荷兰的CPG开发组织和患者组织合作开展的，旨在深入了解开发人员在CPG开发中的角色、培训需求，以及将经济考虑和患者观点结合起来。数据分析包括定性内容分析和描述性定量分析。结果：共分析了271份问卷。受访者描述了特定于角色的任务和角色之间重叠的任务。经验、指导和培训影响了被调查者对任务的准备感。受访者表示需要与内容相关的培训，包括CPG开发方法。他们还提出了培训过程相关主题的重要性，例如在CPG发展过程中纳入不同的观点和责任。大约一半的受访者（46%）表示，经济因素包括在他们的cpg，然而，没有统一的方法。89%的受访者也以不同的方式考虑了患者的观点。总体而言，受访者强调了CPG发展（培训）中两个主题的重要性，以确保未来的医疗保健系统。结论：本研究强调了定制CPG发展培训计划的重要性，以解决CPG发展中不同角色所需的具体能力。因此，认识到包含内容和过程相关方面的整体方法。在培训中考虑经济因素和患者的观点将有助于CPGs支持以患者为中心和可持续的医疗保健系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.