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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
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Related Experiment Video

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Developing a tool for supporting health-system guidance implementation paper 1: a modified Delphi method to develop

Qi Wang1, Michael G Wilson2, Holger J Schünemann3

  • 1McMaster Health Forum, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Journal of Clinical Epidemiology
|March 18, 2026
PubMed
Summary
This summary is machine-generated.

This study identified key components for a health-system guidance (HSG) implementation tool using a modified Delphi method. The consensus-based components will aid in developing practical tools for better HSG implementation.

Keywords:
ComponentsConsensusDecision-makingHealth-system guidanceImplementationModified Delphi

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Area of Science:

  • Health Services Research
  • Implementation Science

Background:

  • Health-system guidance (HSG) implementation requires practical tools to bridge the gap between theoretical frameworks and real-world application.
  • A consensus-based approach is crucial for developing effective and widely adoptable implementation support tools.

Purpose of the Study:

  • To identify and establish consensus on essential components for a tool designed to support health-system guidance (HSG) implementation.
  • To transition a theoretical framework into a practical tool for HSG implementation.

Main Methods:

  • A two-step process involving operationalizing candidate components from a theoretical framework and refining them with HSG examples.
  • A two-round, web-based modified Delphi study with an international expert panel using a 7-point Likert scale for consensus building.

Main Results:

  • An initial 40 candidate items were evaluated, with 31 meeting inclusion criteria in the first round and an additional six in the second round.
  • The study achieved satisfactory expert diversity and response rates (59% and 63% across rounds).
  • A final set of 33 consensus-based components, organized into six levels, was established after refinement and discussion.

Conclusions:

  • The modified Delphi study successfully generated a consensus-based set of components for an HSG implementation support tool.
  • This work marks a significant step towards developing a practical tool from a theoretical foundation for improved HSG implementation.