Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews

作者：Viviane Cássia Pereira, Sarah Nascimento Silva, Viviane Karoline da Silva Carvalho, Fernando Zanghelini, Jorge Otávio Maia Barreto · 发表于：Health Research Policy and Systems · 年份：2022 · DOI：10.1186/s12961-022-00815-4 · 被引用次数：314 · 研究领域：Clinical practice guidelines implementation、Health Policy Implementation Science、Meta-analysis and systematic reviews

BACKGROUND: As a source of readily available evidence, rigorously synthesized and interpreted by expert clinicians and methodologists, clinical guidelines are part of an evidence-based practice toolkit, which, transformed into practice recommendations, have the potential to improve both the process of care and patient outcomes. In Brazil, the process of development and updating of the clinical guidelines for the Brazilian Unified Health System (Sistema Único de Saúde, SUS) is already well systematized by the Ministry of Health. However, the implementation process of those guidelines has not yet been discussed and well structured. Therefore, the first step of this project and the primary objective of this study was to summarize the evidence on the effectiveness of strategies used to promote clinical practice guideline implementation and dissemination. METHODS: This overview used systematic review methodology to locate and evaluate published systematic reviews regarding strategies for clinical practice guideline implementation and adhered to the PRISMA guidelines for systematic review (PRISMA). RESULTS: This overview identified 36 systematic reviews regarding 30 strategies targeting healthcare organizations, healthcare providers and patients to promote guideline implementation. The most reported interventions were educational materials, educational meetings, reminders, academic detailing and audit and feedback. Care pathways-single intervention, educational meeting-single inter...