G-I-N Conference 2012 Clinical Practice Guidelines as sources of

gms | G-I-N Conference 2012 | Clinical Practice Guidelines as sources of s... Page 1 of 2
G-I-N Conference 2012
Guidelines International Network
22.08 - 25.08.2012, Berlin
Meeting Abstract
Clinical Practice Guidelines as sources of
scientific evidence for quality of care indicators:
an experience from the province of Québec
M.D. Beaulieu - Institut national d'excellence en santé et en services sociaux
(INESSS), Montréal, Canada; Département de médecine familiale et médecine
d'urgence, Université de Montréal, Montréal, QC, Canada
M.P. Pomey - Institut national d'excellence en santé et en services sociaux
(INESSS), Montréal, Canada; Département d'administration de la santé,
Université de Montréal, Montréal, Canada
B. Côté - Institut national d'excellence en santé et en services sociaux (INESSS),
Montréal, Canada; Département d'administration de la santé, Université de
Montréal, Montréal, Canada
C. Del Grande - Institut national d'excellence en santé et en services sociaux
(INESSS), Montréal, Canada
M. Ghorbel - Institut national d'excellence en santé et en services sociaux
(INESSS), Montréal, Canada
É. Tremblay - Institut national d'excellence en santé et en services sociaux
(INESSS), Montréal, Canada
P. Hua - Institut national d'excellence en santé et en services sociaux (INESSS),
Montréal, Canada
Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012.
Düsseldorf: German Medical Science GMS Publishing House; 2012. DocO77
DOI: 10.3205/12gin109
Published:
, URN: urn:nbn:de:0183-12gin1091
July 10, 2012
© 2012 Beaulieu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en ). You are free: to Share – to copy,
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Text
Background: A mandate was given by the Ministry of Health to develop quality of
care indicators for chronic conditions. Indicators were to be based on the best
available evidence, relevant to clinical providers and measurable, given the current
informational infrastructure.
Objectives: To describe the process and reflect on the usefulness CPGs as sources
of evidence level.
Methods: Indicators, identified from the literature, were matched to
recommendations from the most current CPGs. The quality of CPGs was assessed
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with the AGREE-II instrument. Indicators were submitted to different panels:
scientific experts (25); patients (n=20), providers (n=30) and experts in IT (n=16).
Results: Of the 166 indicators identified, 39% matched level 1 or 2 evidence.
Discrepancies in levels of evidence between CPGs were observed in about 30% of
the indicators. 144 indicators were retained as being supported either by fair
evidence, high clinical relevance andhigh measurability. A set of 44 indicators
deemed highly relevant and strongly supported by evidence were targeted as high
level of priority for methodological development.
Discussion: Some indicators highly relevant to clinicians were not supported by
high level evidence. Inversely, high level evidence indicators were not always
perceived as relevant or leaving enough room to professional judgement. Ranking
the indicators on science, relevance and measurability was considered useful, as it
gives users the latitude to make their own choices.
Implications for guideline developers/users: Having quality of care indicators,
based on CPG recommendations, with patient and provider input, could facilitate
better integration of guidelines in policy-making and practice.
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2012-07-31