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Scientific paper - Original scientific paper
Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study
International Journal of Environmental Research and Public Health, 19 (2022), 15; 9515. https://doi.org/10.3390/ijerph19159515
Kovačević, Tanja; Vrdoljak, Davorka; Jurić Petričević, Slavica; Buljan, Ivan; Sambunjak, Dario; Krznarić, Željko; Marušić, Ana; Jerončić, Ana

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Kovačević, T., Vrdoljak, D., Jurić Petričević, S., Buljan, I., Sambunjak, D., Krznarić, Ž. ... Jerončić, A. (2022). Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study. International Journal of Environmental Research and Public Health, 19. (15). doi: 10.3390/ijerph19159515

Kovačević, Tanja, et al. "Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study." International Journal of Environmental Research and Public Health, vol. 19, no. 15, 2022. https://doi.org/10.3390/ijerph19159515

Kovačević, Tanja, Davorka Vrdoljak, Slavica Jurić Petričević, Ivan Buljan, Dario Sambunjak, Željko Krznarić, Ana Marušić and Ana Jerončić. "Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study." International Journal of Environmental Research and Public Health 19, no. 15 (2022). https://doi.org/10.3390/ijerph19159515

Kovačević, T., et al. (2022) 'Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study', International Journal of Environmental Research and Public Health, 19(15). doi: 10.3390/ijerph19159515

Kovačević T, Vrdoljak D, Jurić Petričević S, Buljan I, Sambunjak D, Krznarić Ž, and sur.. Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study. International Journal of Environmental Research and Public Health [Internet]. 2022 [cited 2024 December 07];19(15). doi: 10.3390/ijerph19159515

T. Kovačević, et al., "Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study", International Journal of Environmental Research and Public Health, vol. 19, no. 15, 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:266:435088. [Accessed: 07 December 2024]

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Metadata
Title (english)Factors Associated with the Quality and Transparency of National Guidelines : A Mixed-Methods Study
AuthorTanja Kovačević
AuthorDavorka Vrdoljak
AuthorSlavica Jurić Petričević
AuthorIvan Buljan
AuthorDario Sambunjak
AuthorŽeljko Krznarić https://orcid.org/0000-0003-3758-4540
AuthorAna Marušić https://orcid.org/0000-0001-6272-0917
AuthorAna Jerončić
Author's institution(University Hospital of Split)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Abstract (english)
We assessed the methodological quality and transparency of all the national clinical practice guidelines that were published in Croatia up until 2017 and explored the factors associated with their quality rating. An in-depth quantitative and qualitative analysis was performed using rigorous methodology. We evaluated the guidelines using a validated AGREE II instrument with four raters; we used multiple linear regressions to identify the predictors of quality; and two focus groups, including guideline developers, to further explore the guideline development process. The majority of the guidelines (N = 74) were developed by medical societies. The guidelines' quality was rated low: the median standardized AGREE II score was low, 36% (IQR 28-42), and so were the overall-assessments. The aspects of the guidelines that were rated best were the "clarity of presentation" and the "scope and purpose" (median >= 59%); however, the other four domains received very low scores (15-33%). Overall, the guideline quality did not improve over time. The guidelines that were developed by medical societies scored significantly worse than those developed by governmental, or unofficial working groups (12-43% per domain). In focus group discussions, inadequate methodology, a lack of implementation systems in place, a lack of awareness about editorial independence, and broader expertise/perspectives in working groups were identified as factors behind the low scores. The factors identified as affecting the quality of the national guidelines may help stakeholders who are developing interventions and education programs aimed at improving guideline quality worldwide.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleInternational Journal of Environmental Research and Public Health
Numberingvol. 19, no. 15, 9515
e-ISSN1660-4601
DOIhttps://doi.org/10.3390/ijerph19159515
URN:NBNurn:nbn:hr:266:435088
Publication2022
Document URLhttps://www.mdpi.com/1660-4601/19/15/9515/pdf?version=1659510442
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-09-02 17:47:29