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Cited by 287Clinical practice guidelines implementationHealth Policy Implementation ScienceDelphi Technique in Research

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Use of evidence in WHO recommendations

Open access
Oxman, Andrew D, Lavis, John N, Fretheim, Atle·2007·The Lancet
DOI 10.1016/s0140-6736(07)60675-8
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Abstract

Background WHO regulations, dating back to 1951, emphasise the role of expert opinion in the development of recommendations. However, the organisation's guidelines, approved in 2003, emphasise the use of systematic reviews for evidence of effects, processes that allow for the explicit incorporation of other types of information (including values), and evidence-informed dissemination and implementation strategies. We examined the use of evidence, particularly evidence of effects, in recommendations developed by WHO departments.Methods We interviewed department directors (or their delegates) at WHO headquarters in Geneva, Switzerland, and reviewed a sample of the recommendation-containing reports that were discussed in the interviews (as well as related background documentation). Two individuals independently analysed the interviews and reviewed key features of the reports and background documentation.Findings Systematic reviews and concise summaries of findings are rarely used for developing recommendations. Instead, processes usually rely heavily on experts in a particular specialty, rather than representatives of those who will have to live with the recommendations or on experts in particular methodological areas.Interpretation Progress in the development, adaptation, dissemination, and implementation of recommendations for member states will need leadership, the resources necessary for WHO to undertake these processes in a transparent and defensible way, and close attention to the current and emerging research literature related to these processes.

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Crossref · 10.1016/s0140-6736(07)60675-8

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Citations

Cites

Research works printed but not linked: 2

  1. Gove, 1997, Integrated management of childhood illness by outpatient health workers: technical basis and overview, Bull World Health Organ, 75, 7
  2. Burgers, 2003, Towards evidence-based clinical practice: an international survey of 18 clinical guideline programs, Int J Qual Health Care, 15, 31, 10.1093/intqhc/15.1.31 · DOI

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Metadata

Authors
Oxman, A. D., Lavis, J. N., & Fretheim, A.
Affiliations
  • Nasjonalt Kunnskapssenter for Helsetjenesten (NO)
  • McMaster University (CA)
Corresponding author
Oxman, Andrew D
ORCID
Venue
The Lancet
Publisher
Elsevier BV
Published
2007-06
Volume
369
Issue
9576
Pages
1883-1889
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(07)60675-8
OpenAlex
W2112003434
Cited by
287
References
32
Citations by year
2026: 2 · 2025: 2 · 2024: 9 · 2023: 6 · 2022: 2 · 2021: 7 · 2020: 6 · 2019: 9 · 2018: 12 · 2017: 10 · 2016: 14 · 2015: 16 · 2014: 18 · 2013: 81 · 2012: 14
FWCI
23.26
Type
journal article
Language
en
Open access
Licence
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • BIBSYS Brage (BIBSYS (Norway)) (acceptedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Sociology and Political Science › Delphi Technique in Research
Keywords
World Health Organization, health advice, evidence use, systematic reviews, expert opinion, evidence-informed decision-making, WHO guidelines, dissemination and implementation
MeSH terms
Expert Testimony, Health Planning Guidelines, Health Policy, Humans, Interviews as Topic, Physician Executives, World Health Organization, Evidence-Based Medicine

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