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Dissemination and implementation of clinical practice guidelines in Belgium [printed text] / Anja Desomer, Author ; Tinne Dilles, Author ; Sarah Steckel, Author ; Christiane Duchesnes, Author ; Marc Vanmeerbeek, Author ; Lieve Peremans, Author ; Bart Van Rompaey, Author ; Roy Remmen, Author ; Dominique Paulus , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2013 . - 164 p. : ill. ; A4. - (KCE Reports. Health Services Research (HSR); 212) .
ISSN : D/2013/10.273/89 : € 0,00
Languages : English (eng)

Descriptors:	Indexation Information dissemination ; Practice Guideline [Publication type] ; R212 Classification W 84.4 Quality of health care (General)
Contents note:	SCIENTIFIC REPORT 7 -- 1 OVERVIEW OF THE SYSTEMATIC REVIEWS ON GUIDELINE DISSEMINATION AND IMPLEMENTATION 9 -- 1 1 METHODS 9 -- 1 1 1 Inclusion criteria 9 -- 1 1 2 Identification of studies 10 -- 1 1 3 Study selection 10 -- 1 1 4 Critical appraisal 10 -- 1 1 5 Data analysis and synthesis 10 -- 1 2 RESULTS 11 -- 1 2 1 Search results 11 -- 1 2 2 Methodological quality 13 -- 1 3 EFFECTIVENESS OF PROFESSIONAL INTERVENTIONS 13 -- 1 3 1 Audit & Feedback 13 -- 1 3 2 Distribution of educational materials and reminders 16 -- 1 3 3 Educational meetings (including interprofessional education) 21 -- 1 3 4 Educational outreach visits (academic detailing) 25 -- 1 3 5 Local opinion leaders 28 -- 1 3 6 Effectiveness of professional interventions in multifaceted interventions 30 -- 1 3 7 Barriers and facilitators for guideline dissemination and implementation 34 -- 1 4 LITERATURE: SUMMARY OF THE MAIN FINDINGS 37 -- 1 4 1 Overview of the results 37 -- 1 4 2 Effect of computerized decision-making systems (reminders) on clinical practice: insight from other reviews 40 -- 1 4 3 Other interventions for guideline dissemination 40 -- 1 4 4 Limitations of findings 41 -- 2 THE BELGIAN LANDSCAPE OF CLINICAL PRACTICE GUIDELINES 41 -- 2 1 METHODOLOGY 44 -- 2 1 1 General design 44 -- 2 1 2 Research population 44 -- 2 1 3 Identification of strategies for CPG dissemination 45 -- 2 1 4 Interviews 45 -- 2 1 5 Map of the CPG landscape in Belgium 45 -- 2 1 6 SWOT analysis 45 -- 2 2 RESULTS 46 -- 2 2 1 Inventory of the stakeholders 46 -- 2 2 2 Selection of the interviewees 46 -- 2 2 3 Various perceptions of the Belgian landscape of guidelines 49 -- 2 2 4 Guidelines development in Belgium: definition, methods and perception of the strategies 49 -- 2 2 5 Validation of CPG: from consensus to official procedure 54 -- 2 2 6 Dissemination of CPG: many strategies in Belgium 55 -- 2 2 7 Difficulties to disseminate and implement CPG 62 -- 2 2 8 Facilitating factors to disseminate and implement CPG 64 -- 2 2 9 Suggestions to improve CPG dissemination and implementation 65 -- 2 2 10 SWOT analysis: dissemination of CPG 68 -- 2 3 BELGIAN LANDSCAPE: SUMMARY OF THE MAIN FINDINGS 68 -- 3 STRATEGIES TO IMPROVE THE DISSEMINATION AND IMPLEMENTATION OF GUIDELINES IN BELGIUM 70 -- 3 1 METHODOLOGY 70 -- 3 1 1 Development of the statements 70 -- 3 1 2 Participants 70 -- 3 1 3 Stakeholder meetings 70 -- 3 1 4 Ethical considerations 71 -- 3 2 RESULTS 71 -- 3 2 1 Discussion on a national platform of clinical practice guidelines 71 -- 3 2 2 Discussion on the value of a quality label 72 -- 3 2 3 Discussion on the need for a multidisciplinary approach 72 -- 3 2 4 Discussion on the adaptation of international guidelines versus national production 73 -- 3 2 5 Discussion on the effectiveness of multifaceted interventions 73 -- 3 2 6 Discussion on the need for integration of guidelines in professional education 73 -- 3 3 SUMMARY OF THE MAIN FINDINGS: ANALYSIS OF THE CURRENT SITUATION AND PROPOSALS FOR THE FUTURE 74 -- 3 3 1 A patchy landscape 74 -- 3 3 2 “Guidelines”: what’s in a name? 74 -- 3 3 3 Value of international guidelines 75 -- 3 3 4 One dissemination platform 75 -- 3 3 5 Dissemination strategies: more than papers 75 -- 3 3 6 Public source of financing 75 -- 3 3 7 Strengths and limitations of the field study 75 -- 4 GENERAL DISCUSSION 76 -- APPENDICES 77
Link for e-copy:	https://doi.org/10.57598/R212C
Format of e-copy:	PDF (1,3 MB)
Record link:	https://kce.docressources.info/index.php?lvl=notice_display&id=3313