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...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: BMC 2022-09-01
Series:Health Research Policy and Systems
Subjects:
Online Access:https://doi.org/10.1186/s12961-022-00908-0
_version_ 1811200676728930304
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
work_keys_str_mv AT qiwang facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT yingzhu facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT shitongxie facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT mohammadgolamkibria facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT qiangqiangguo facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT ahmedatefbelal facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT yanfeili facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT jingyizhang facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT yaolongchen facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT holgerjschunemann facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT michaelgwilson facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT kehuyang facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol
AT johnnlavis facilitatorsbarriersandstrategiesforhealthsystemguidanceimplementationacriticalinterpretivesynthesisprotocol