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Health system guidance appraisal--concept evaluation and usability testing.
Denis E Ako-Arrey1, Melissa C Brouwers2, John N Lavis3
1McMaster University, Juravinski Hospital Site, G Wing, 2nd Floor, Room 207, 711 Concession Street, Hamilton, Ontario, L8V 1C3, Canada. akoarrde@mcmaster.ca.
Implementation Science : IS
|January 6, 2016
Summary
A new appraisal tool, AGREE-HS, was developed to improve health system guidance (HSG) quality. This tool systematically guides the development, appraisal, and reporting of HSG for better health system decisions.
Area of Science:
- Health Systems Research
- Guideline Development and Evaluation
- Health Policy and Management
Background:
- Health system guidance (HSG) is crucial for addressing health system challenges but lacks standardized methods for development, appraisal, and reporting.
- Previous research identified 30 candidate criteria for evaluating HSG quality.
- This study aimed to evaluate these criteria, develop a draft HSG appraisal tool, and test its usability.
Purpose of the Study:
- To evaluate the importance of 30 candidate criteria for health system guidance (HSG).
- To design a draft appraisal tool for HSG.
- To test the usability of the developed HSG appraisal tool.
Main Methods:
- A two-step survey process was employed.
- Step 1 involved rating 30 concepts for appropriateness, relevance, and priority in health system decisions and HSG.
- Step 2 involved participants appraising HSG documents using a draft tool and providing feedback.
Main Results:
- High response rates (82% in Step 1, 74% in Step 2) and universally favorable concept ratings were observed.
- Participants reached a consensus on the need for a high-quality tool to guide HSG development, appraisal, and reporting.
- The beta version of the HSG appraisal tool, refined through qualitative feedback, was found to be easy to understand and apply, with high agreement on its usability for development (85%), appraisal (92%), and reporting (81%).
Conclusions:
- The Appraisal of Guidelines for Research and Evaluation for Health Systems (AGREE-HS) version 1.0, comprising 32 items across 4 domains, was generated.
- AGREE-HS defines expectations for HSG.
- The tool facilitates informed decision-making for policymakers regarding health system delivery, financial, and governance arrangements.
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