Strengthening prehospital clinical practice guideline implementation in South Africa: a qualitative case study

Michael McCaul, Taryn Young, Stevan R Bruijns, Mike Clarke
BMC health services research; Vol.20 ( pp:1-12 ) 07-12-2020 Guidelines
Background
Methods on developing new (de novo) clinical practice guidelines (CPGs) have received substantial attention. However, research into alternative methods of CPG development using existing CPG documents (CPG adaptation) — a specific issue for guideline development groups in low- and middle-income countries — is sparse. There are only a few examples showcasing the pragmatic application of such alternative approaches in settings with time and budget constraints, especially in the prehospital setting. This paper aims to describe and strengthen the methods of developing prehospital CPGs using alternative guideline development methods through a case study design.
Methods
We qualitatively explored a CPG development project conducted in 2016 for prehospital providers in South Africa as a case study. Key stakeholders, involved in various processes of the guideline project, were …

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Senior Lecturer in Epidemiology and Biostatistics, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. I have expertise in:

Clinical Epidemiology | Biostatistics | Evidence Synthesis | Guideline Development | Research Methods | Postgraduate Teaching and Learning | Prehospital Care | Student Supervision