Effectiveness and efficiency of guideline dissemination and implementation strategies
Open accessAbstract
Objectives: A systematic review of the effectiveness and costs of different guideline development, dissemination, and implementation strategies wasundertaken. The resource implications of these strategies was estimated, and a framework for deciding when it is efficient to develop and introduce clinical guidelines was developed.
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Two earlier reviews (Hoomans et al. 2007; Grimshaw et al. 2004) found evidence of limited quality and scope for understanding the cost-effectiveness of implementation strategies.
“In two earlier reviews (Hoomans et al. in 2007 [3] and earlier Grimshaw et al. in 2004 [4]), the use of economic methods in evaluating the implementation of evidence-based guidelines was examined, and the authors found evidence of limited quality and scope for understanding the cost-effectiveness of implementation strategies.”
From Use of health economic evaluation in the implementation and improvement science fields—a systematic literature review (2019) · cites this paper as [4]
Each paper's methodological quality was assessed using the Quality of Health Economic Studies (QHES) standardised framework.
“Each paper’s methodological quality was assessed using the Quality of Health Economic Studies (QHES) standardised framework [4].”
From Use of health economic evaluation in the implementation and improvement science fields—a systematic literature review (2019) · cites this paper as [4]
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- Authors
- Grimshaw, J. M., Thomas, R. E., MacLennan, G., Fraser, C., Ramsay, C. R., Vale, L., Whitty, P., Eccles, M. P., Matowe, L., Shirran, L., Wensing, M., Dijkstra, R., & Donaldson, C.
- Affiliations
- University of Aberdeen (GB)
- Newcastle University (GB)
- Radboud University Nijmegen (NL)
- University of Calgary (CA)
- ORCID
- Venue
- International Journal of Technology Assessment in Health Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 2005-01
- Volume
- 21
- Issue
- 1
- Pages
- 149-149
- ISSN
- 0266-4623 (ISSN-L)
- 1471-6348
- OpenAlex
- W2140303347
- Cited by
- 864
- References
- 34
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 36 · 2020: 51 · 2019: 35 · 2018: 54 · 2017: 44 · 2016: 44 · 2015: 62 · 2014: 65 · 2013: 125 · 2012: 55
- FWCI
- 41.77
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Technology Assessment in Health Care (publishedVersion, other-oa)
- ResearchOnline (Glasgow Caledonian University) (submittedVersion)
- 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
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- guideline dissemination, guideline implementation, guideline development, cost-effectiveness, resource implications, health technology assessment
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