Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Health Research Policy and Systems
Published in: Health Research Policy and Systems 1/2006

Open Access 01-12-2006 | Review

Improving the use of research evidence in guideline development: 5. Group processes

Authors: Atle Fretheim, Holger J Schünemann, Andrew D Oxman

Published in: Health Research Policy and Systems | Issue 1/2006

Login to get access

Abstract

Background

The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the fifth of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this.

Objective

In this review we address approaches to facilitate sound processes within groups that develop recommendations for health care.

Methods

We searched PubMed and three databases of methodological studies for existing systematic reviews and relevant methodological research. We did not conduct systematic reviews ourselves. Our conclusions are based on the available evidence, consideration of what WHO and other organisations are doing and logical arguments.

Key question and answer

What should WHO do to ensure appropriate group processes?
Various strategies can be adopted to ensure that the group processes in play when panels are developing recommendations are inclusive, so that all voices can be heard and all arguments given fair weight, including
• the use of formal consensus development methods, such at the Nominal Group Technique or the Delphi method
• the selection of a group leader who is qualified and responsible for facilitating an appropriate group process.
Literature
1.
Fretheim A, Schünemann H, AD O: Improving the use of research evidence in guideline development: 3. Group Composition and Consultation Process. Health Res Policy Syst. 2006
2.
Schünemann H, Fretheim A, AD O: Improving the use of research evidence in guideline development: 10. Integrating Values and Consumer Involvement. Health Res Policy Syst. 2006
3.
Regulations for Expert Advisory Panels and Committees. Resolution WHA 35 10. 1982, WHO
4.
Wabitsch R, Margolis CZ, Malkin JE, Abu-Saad K, Waksman J: Evaluating the process of tailoring the global HIV/AIDS practice guidelines for use in developing countries. Int J Qual Health Care. 1998, 10: 147-154. 10.1093/intqhc/10.2.147.CrossRefPubMed
5.
Moynihan R, Oxman AD, Lavis J, Paulsen E: A review of organizations that support the use of research evidence in developing guidelines, technology assessments, and health policy, for the WHO Advisory Committee on Health Research. 2006, Oslo, Norwegian Knowledge Centre for the Health Services
6.
Burgers JS, Grol R, Klazinga NS, Makela M, Zaat J: Towards evidence-based clinical practice: an international survey of 18 clinical guideline programs. Int J Qual Health Care. 2003, 15: 31-45. 10.1093/intqhc/15.1.31.CrossRefPubMed
7.
National Institute for Health and Clinical Excellence: The guidelines manual. 2006, London, National Institute for Health and Clinical Excellence
8.
Oxman AD, Fretheim A, Schünemann S: Improving the use of research evidence in guideline development: introduction. Health Res Policy Syst. 2006
9.
10.
11.
12.
Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CF, Askham J, Marteau T: Consensus development methods, and their use in clinical guideline development. Health Technol Assess. 1998, 2: i-88.PubMed
13.
Hutchings A, Raine R: A systematic review of factors affecting the judgments produced by formal consensus development methods in health care (In press). J Health Serv Res Policy. 2006
14.
Shekelle PG, Schriger DL: Evaluating the use of the appropriateness method in the Agency for Health Care Policy and Research Clinical Practice Guideline Development process. Health Serv Res. 1996, 31: 453-468.PubMedPubMedCentral
15.
Jenkings KN, Barber N: What constitutes evidence in hospital new drug decision making?. Soc Sci Med. 2004, 58: 1757-1766. 10.1016/S0277-9536(03)00373-3.CrossRefPubMed
Metadata
Title
Improving the use of research evidence in guideline development: 5. Group processes
Authors
Atle Fretheim
Holger J Schünemann
Andrew D Oxman
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2006
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/1478-4505-4-17

Other articles of this Issue 1/2006

Health Research Policy and Systems 1/2006 Go to the issue

Editorial

Best practices in use of research evidence to inform health decisions

Commentary

Harnessing information and communication technologies to leverage scarce resources for cancer education, research and practice in developing countries

Review

Improving the use of research evidence in guideline development: 9. Grading evidence and recommendations

Review

Improving the use of research evidence in guideline development: 13. Applicability, transferability and adaptation

Review

Improving the use of research evidence in guideline development: 2. Priority setting

Review

Improving the use of research evidence in guideline development: 16. Evaluation