NDLI: The role of guideline organizations in nationwide guideline implementation: a qualitative study

Content Provider	Springer Nature : BioMed Central
Author	Thoonsen, Andrea C. Merten, Hanneke Broeders, Toby T. Gans, Anika van Beusekom, Ilse Delnoij, Diana M. J. de Bruijne, Martine C.
Abstract	Background Research indicates suboptimal uptake and impact of clinical practice guidelines in Dutch healthcare. Dutch guideline organizations, i.e. guideline developers, governmental agencies, health insurers and other national organizations, develop, authorize and/or support the use of guidelines in Dutch clinical practice. These organizations influence the end users’ awareness, accessibility, understanding, acceptability and applicability of guidelines and, therefore, play a crucial role in guideline implementation. This study explores how they plan, execute, monitor and evaluate guideline dissemination and implementation. Methods Utilizing a qualitative design, we conducted semi-structured interviews with 35 participants from 24 guideline organizations. We conducted framework analysis, using theories on guideline implementation planning, the ‘taxonomy of strategies for achieving guideline implementation and compliance’ and the principles of logic models to analyse the data. Results Most guideline organizations made limited use of implementation planning approaches that are known to enhance guideline uptake and impact. These approaches include pre-identifying implementation barriers, engaging stakeholders and applying implementation theories, models and frameworks to select and tailor implementation strategies. Instead, they primarily relied on a standard set of predominantly dissemination and occasional implementation strategies known to be practical in terms of ease, cost and time. Commonly used implementation strategies included distributing, advertising and presenting guideline materials, along with providing additional implementation supporting materials. Regarding monitoring and evaluation methods, few organizations assessed the process, outcome or impact of guideline implementation. Those that did primarily relied on clinical peer review and benchmark information for their assessments. Conclusions While Dutch guideline organizations recognized and endorsed the importance of implementation, this did not consistently translate into tailored implementation actions. Most guideline organizations did not have an integrated, structural and well-thought-out plan for implementation. The lack of regular, structured monitoring and evaluation raised uncertainties about the effectiveness of implementation in supporting end users and improving patient outcomes. Suggested follow-up research and practice enhancements could strengthen central-level implementation efforts, fostering more effective local implementation and, ultimately, improving health outcomes.
Related Links	https://health-policy-systems.biomedcentral.com/counter/pdf/10.1186/s12961-024-01253-0.pdf
Ending Page	17
Page Count	17
Starting Page	1
File Format	HTM / HTML
ISSN	14784505
DOI	10.1186/s12961-024-01253-0
Journal	Health Research Policy and Systems
Issue Number	1
Volume Number	22
Language	English
Publisher	BioMed Central
Publisher Date	2024-12-23
Access Restriction	Open
Subject Keyword	Health Administration R & D Technology Policy Medicine Public Health Health Services Research Health Policy Clinical practice guidelines Guideline adherence Implementation science Guideline organizations Quality improvement R & D/Technology Policy Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Health Policy
Journal Impact Factor	3.6/2023
5-Year Journal Impact Factor	4.3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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