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National Priority Setting of Clinical Practice Guidelines Development for Chronic Disease Management

Heui-Sug Jo1, Dong Ik Kim2, Moo-Kyung Oh3

  • 1Department of Health Management and Policy, Kangwon National University School of Medicine, Chuncheon, Korea. ; The Executive Committee for Clinical Practice Guidelines, The Korean Academy of Medical Sciences, Seoul, Korea.

Journal of Korean Medical Science
|December 30, 2015
PubMed

Insights

Prioritizing chronic disease clinical practice guidelines (CPGs) in Korea is crucial due to limited funding. Ischemic heart disease, cerebrovascular diseases, and Alzheimer's disease were identified as top priorities for CPG development.

Area of Science:

  • Health Services Research
  • Medical Informatics
  • Public Health Policy

Background:

  • South Korea has developed 125 clinical practice guidelines (CPGs) by November 2013.
  • Despite the high burden of chronic diseases, a significant gap exists in available CPGs, with only 83 related to chronic conditions.
  • The rapid advancement of medical evidence and increasing chronic disease prevalence necessitate urgent CPG development.

Purpose of the Study:

  • To identify and prioritize chronic diseases for CPG development in Korea.
  • To inform resource allocation for CPG creation within a limited funding framework.
  • To address the growing need for evidence-based guidelines for prevalent chronic conditions.

Main Methods:

  • Employed the analytic hierarchy process (AHP) for objective assessment of disease prioritization.
  • Conducted a subjective assessment through a survey of expert opinions.
  • Combined objective and subjective methods to establish CPG development priorities.

Main Results:

  • High priority was assigned to ischemic heart disease for CPG development.
  • Cerebrovascular diseases, Alzheimer's disease and other dementias, and osteoarthritis were identified as key areas for CPGs.
  • Neck pain, chronic kidney disease, and cirrhosis of the liver also emerged as high-priority chronic diseases for guideline development.

Conclusions:

  • A systematic approach combining objective and subjective assessments is effective for prioritizing CPG development.
  • Ischemic heart disease, cerebrovascular diseases, and Alzheimer's disease represent critical areas requiring immediate attention for CPGs in Korea.
  • Prioritization ensures efficient allocation of resources to address the most pressing chronic disease guideline needs.

Keywords:
Chronic DiseaseClinical Practice GuidelineHealth PrioritiesKoreaPrimary Health Care

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