Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol
Abstract Background As systematically developed statements regarding possible courses of action, health system guidance (HSG) can assist with making decisions about addressing problems or achieving goals in health systems. However, there are conceptual and methodological challenges in HSG implementa...
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Format: | Article |
Language: | English |
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BMC
2022-09-01
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Series: | Health Research Policy and Systems |
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Online Access: | https://doi.org/10.1186/s12961-022-00908-0 |
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author | Qi Wang Ying Zhu Shitong Xie Mohammad Golam Kibria Qiangqiang Guo Ahmed Atef Belal Yanfei Li Jingyi Zhang Yaolong Chen Holger J. Schünemann Michael G. Wilson Kehu Yang John N. Lavis |
author_facet | Qi Wang Ying Zhu Shitong Xie Mohammad Golam Kibria Qiangqiang Guo Ahmed Atef Belal Yanfei Li Jingyi Zhang Yaolong Chen Holger J. Schünemann Michael G. Wilson Kehu Yang John N. Lavis |
author_sort | Qi Wang |
collection | DOAJ |
description | Abstract Background As systematically developed statements regarding possible courses of action, health system guidance (HSG) can assist with making decisions about addressing problems or achieving goals in health systems. However, there are conceptual and methodological challenges in HSG implementation due to the complexity of health-system policy-making, the diversity of available evidence and vast differences in contexts. To address these gaps, we aim to develop a theoretical framework for supporting HSG implementation as part of a broader effort to promote evidence-informed policy-making in health systems. Methods To develop a theoretical framework about facilitators, barriers and strategies for HSG implementation, we will apply a critical interpretive synthesis (CIS) approach to synthesize the findings from a range of relevant literature. We will search 11 electronic databases and seven organizational websites to identify relevant published and grey literature. We will check the references of included studies and contact experts to identify additional eligible papers. Finally, we will conduct purposively sampling of the literature to fill any identified conceptual gaps. We will use relevance and five quality criteria to assess included papers. A standardized form will be developed for extracting information. We will use an interpretive analytic approach to synthesize the findings, including a constant comparative method throughout the analysis. Two independent reviewers will conduct the literature screening and relevance assessment, and disagreements will be resolved through discussion. The principal investigator will conduct data extraction and synthesis, and a second reviewer will check the sample of extracted data for consistency and accuracy. Discussion A new theoretical framework about facilitators, barriers and strategies for HSG implementation will be developed using a CIS approach. The HSG implementation framework could be widely used for supporting the implementation of HSG covering varied topics and in different contexts (including low-, middle- and high-income countries). In later work, we will develop a tool for supporting HSG implementation based on the theoretical framework. Registration PROSPERO CRD42020214072. Date of Registration: 14 December 2020. |
first_indexed | 2024-04-12T02:07:39Z |
format | Article |
id | doaj.art-4b8a3b46347d493bb35252ee121cfb6f |
institution | Directory Open Access Journal |
issn | 1478-4505 |
language | English |
last_indexed | 2024-04-12T02:07:39Z |
publishDate | 2022-09-01 |
publisher | BMC |
record_format | Article |
series | Health Research Policy and Systems |
spelling | doaj.art-4b8a3b46347d493bb35252ee121cfb6f2022-12-22T03:52:29ZengBMCHealth Research Policy and Systems1478-45052022-09-012011710.1186/s12961-022-00908-0Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocolQi Wang0Ying Zhu1Shitong Xie2Mohammad Golam Kibria3Qiangqiang Guo4Ahmed Atef Belal5Yanfei Li6Jingyi Zhang7Yaolong Chen8Holger J. Schünemann9Michael G. Wilson10Kehu Yang11John N. Lavis12Health Policy Ph.D. Program, McMaster UniversityDepartment of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster UniversityDepartment of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster UniversityCanadian Red CrossEvidence Based Social Science Research Center, School of Public Health, Lanzhou UniversityHealth Policy Ph.D. Program, McMaster UniversityEvidence Based Social Science Research Center, School of Public Health, Lanzhou UniversityCenter for Clinical Epidemiology and Methodology (CCEM), Guangdong Second Provincial General HospitalResearch Unit of Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences (2021RU017), School of Basic Medical Sciences, Lanzhou UniversityDepartment of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster UniversityMcMaster Health Forum, McMaster UniversityEvidence Based Social Science Research Center, School of Public Health, Lanzhou UniversityMcMaster Health Forum, McMaster UniversityAbstract Background As systematically developed statements regarding possible courses of action, health system guidance (HSG) can assist with making decisions about addressing problems or achieving goals in health systems. However, there are conceptual and methodological challenges in HSG implementation due to the complexity of health-system policy-making, the diversity of available evidence and vast differences in contexts. To address these gaps, we aim to develop a theoretical framework for supporting HSG implementation as part of a broader effort to promote evidence-informed policy-making in health systems. Methods To develop a theoretical framework about facilitators, barriers and strategies for HSG implementation, we will apply a critical interpretive synthesis (CIS) approach to synthesize the findings from a range of relevant literature. We will search 11 electronic databases and seven organizational websites to identify relevant published and grey literature. We will check the references of included studies and contact experts to identify additional eligible papers. Finally, we will conduct purposively sampling of the literature to fill any identified conceptual gaps. We will use relevance and five quality criteria to assess included papers. A standardized form will be developed for extracting information. We will use an interpretive analytic approach to synthesize the findings, including a constant comparative method throughout the analysis. Two independent reviewers will conduct the literature screening and relevance assessment, and disagreements will be resolved through discussion. The principal investigator will conduct data extraction and synthesis, and a second reviewer will check the sample of extracted data for consistency and accuracy. Discussion A new theoretical framework about facilitators, barriers and strategies for HSG implementation will be developed using a CIS approach. The HSG implementation framework could be widely used for supporting the implementation of HSG covering varied topics and in different contexts (including low-, middle- and high-income countries). In later work, we will develop a tool for supporting HSG implementation based on the theoretical framework. Registration PROSPERO CRD42020214072. Date of Registration: 14 December 2020.https://doi.org/10.1186/s12961-022-00908-0Health system guidanceImplementationFacilitatorsBarriersStrategiesTheoretical framework |
spellingShingle | Qi Wang Ying Zhu Shitong Xie Mohammad Golam Kibria Qiangqiang Guo Ahmed Atef Belal Yanfei Li Jingyi Zhang Yaolong Chen Holger J. Schünemann Michael G. Wilson Kehu Yang John N. Lavis Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol Health Research Policy and Systems Health system guidance Implementation Facilitators Barriers Strategies Theoretical framework |
title | Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol |
title_full | Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol |
title_fullStr | Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol |
title_full_unstemmed | Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol |
title_short | Facilitators, barriers and strategies for health-system guidance implementation: a critical interpretive synthesis protocol |
title_sort | facilitators barriers and strategies for health system guidance implementation a critical interpretive synthesis protocol |
topic | Health system guidance Implementation Facilitators Barriers Strategies Theoretical framework |
url | https://doi.org/10.1186/s12961-022-00908-0 |
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