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Development of rapid guidelines: 2. A qualitative study with WHO guideline developers
Ivan D Florez1,2, Rebecca L Morgan1, Maicon Falavigna3,4
1Department of Health Research Methods, Evidence and Impact and Mac GRADE Center, McMaster University Health Sciences Centre, Room 2C16, 1280 Main Street West, Hamilton, ON, L8N 4K1, Canada.
Health Research Policy and Systems
|July 15, 2018
Summary
Rapid guidelines (RGs) are crucial for public health emergencies. Developing RGs requires more standardized timelines and resources, despite their recognized need and rationale.
Area of Science:
- Public Health
- Health Policy
- Evidence-Based Medicine
Background:
- Public health emergencies and outbreaks require rapid development of high-quality recommendations.
- The World Health Organization (WHO) has developed guidance for rapid guidelines (RGs).
- Understanding guideline developers' experiences with RGs is essential.
Purpose of the Study:
- To describe the perceptions and experiences of WHO guideline developers regarding RGs.
- To explore the definition, rationale, and methodological differences of RGs compared to regular guidelines.
Main Methods:
- Interviews with 10 WHO guideline developers using open- and closed-ended questions.
- Analysis of perceptions on RG definition, rationale, timelines, evidence identification, and methodology.
Main Results:
- Most developers found the current WHO definition of RGs acceptable.
- The primary rationale for RGs is new evidence on efficacy, cost-effectiveness, or safety.
- Challenges include limited resources and lack of evidence; facilitators include more resources and virtual meetings.
Conclusions:
- A strong need and rationale exist for developing RGs.
- Further research is needed to standardize RG timelines, panel composition, peer review, and evidence sources.
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