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A patient-centered network approach to multidisciplinary-guideline development: a process evaluation.

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A new patient-centered network approach successfully created harmonized fertility care guidelines. This method integrates patient needs into clinical pathways, improving care coordination and guideline development.

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Area of Science:

  • Reproductive Medicine
  • Health Services Research
  • Clinical Guideline Development

Background:

  • Current guideline development often neglects care integration, focusing primarily on clinical disease aspects.
  • A patient-centered network approach was employed to harmonize guidelines within fertility care pathways.
  • The feasibility of this novel approach was evaluated through a detailed process assessment.

Purpose of the Study:

  • To develop harmonized multidisciplinary and monodisciplinary guidelines for fertility care using a patient-centered network approach.
  • To assess the feasibility and professionals' experiences with this collaborative guideline development method.
  • To evaluate the time investment and project performance of the network approach.

Main Methods:

  • A network structure centered on patients, including a steering committee and multidisciplinary/monodisciplinary guideline development groups.
  • Key questions were derived from patient and professional interviews, addressing patient-centered, organizational, and medical-technical aspects.
  • Project performance, participant perceptions, and time requirements were evaluated via interviews and surveys.

Main Results:

  • Five harmonized guidelines (one multidisciplinary, four monodisciplinary) for infertility care were developed within 20 months.
  • The multidisciplinary guideline incorporated recommendations for medical-technical, organizational, and patient-centered issues in clinical pathways.
  • Participants responded enthusiastically to the patient-centered, collaborative approach, despite minor project modifications.

Conclusions:

  • The patient-centered network approach is a feasible method for collaborative development of harmonized fertility care guidelines.
  • This approach effectively integrates multidisciplinary and monodisciplinary perspectives around clinical pathways.
  • Further research is recommended to compare this novel approach with traditional guideline development methods.