The WHO-INTEGRATE evidence to decision framework version 1.0: integrating WHO norms and values and a complexity perspective
| Autor: | Anayda Portela, Susan L Norris, Rob Baltussen, Jan M. Stratil, Eva Rehfuess, Inger B. Scheel |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Knowledge management
business.industry Process (engineering) Computer science 030503 health policy & services Research public health Public Health Environmental and Occupational Health health policy Focus group Health equity 03 medical and health sciences 0302 clinical medicine Systematic review All institutes and research themes of the Radboud University Medical Center lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] Global health Relevance (law) 030212 general & internal medicine 0305 other medical science business health systems Health policy Primary research |
| Zdroj: | BMJ Global Health BMJ Global Health, 4 |
| ISSN: | 2059-7908 |
| Popis: | IntroductionEvidence-to-decision (EtD) frameworks intend to ensure that all criteria of relevance to a health decision are systematically considered. This paper, part of a series commissioned by the WHO, reports on the development of an EtD framework that is rooted in WHO norms and values, reflective of the changing global health landscape, and suitable for a range of interventions and complexity features. We also sought to assess the value of this framework to decision-makers at global and national levels, and to facilitate uptake through suggestions on how to prioritise criteria and methods to collect evidence.MethodsIn an iterative, principles-based approach, we developed the framework structure from WHO norms and values. Preliminary criteria were derived from key documents and supplemented with comprehensive subcriteria obtained through an overview of systematic reviews of criteria employed in health decision-making. We assessed to what extent the framework can accommodate features of complexity, and conducted key informant interviews among WHO guideline developers. Suggestions on methods were drawn from the literature and expert consultation.ResultsThe new WHO-INTEGRATE (INTEGRATe Evidence) framework comprises six substantive criteria—balance of health benefits and harms, human rights and sociocultural acceptability, health equity, equality and non-discrimination, societal implications, financial and economic considerations, and feasibility and health system considerations—and the meta-criterion quality of evidence. It is intended to facilitate a structured process of reflection and discussion in a problem-specific and context-specific manner from the start of a guideline development or other health decision-making process. For each criterion, the framework offers a definition, subcriteria and example questions; it also suggests relevant primary research and evidence synthesis methods and approaches to assessing quality of evidence.ConclusionThe framework is deliberately labelled version 1.0. We expect further modifications based on focus group discussions in four countries, example applications and input across concerned disciplines. |
| Databáze: | OpenAIRE |
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