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Qualitative evidence to improve guidelines and health decision-making

Citation: 
Qualitative evidence to improve guidelines and health decision-making. Etienne V Langlois, Özge Tunçalp, Susan L Norris, Ian Askew and Abdul Ghaffar. Bulletin of the World Health Organization 2018;96:79-79A. doi: http://dx.doi.org/10.2471/BLT.17.206540
Abstract / Summary: 
As governments are developing schemes for universal health coverage (UHC) and progressing towards the sustainable development goals (SDGs), they need relevant and context-sensitive evidence to support different policies and interventions. Decision-makers are increasingly using qualitative evidence to understand various socioeconomic contexts, health systems and communities. This type of evidence is useful to assess the needs, values, perceptions and experiences of stakeholders, including policymakers, providers, communities and patients, and is thus crucial for complex health decision-making.
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Selected extracts: 

As governments are developing schemes for universal health coverage (UHC) and progressing towards the sustainable development goals (SDGs), they need relevant and context-sensitive evidence to support different policies and interventions. Decision-makers are increasingly using qualitative evidence to understand various socioeconomic contexts, health systems and communities...

Qualitative evidence syntheses, which combine and analyse evidence from individual qualitative studies, have emerged as a key approach to inform guideline development and address implementation considerations in diverse country settings and complex health systems...

Beyond global guidance, qualitative evidence is invaluable for national and local decision-makers and practitioners to understand factors influencing the implementation and scale-up of health policies and programmes...

Yet, despite the relevance of findings from qualitative evidence syntheses, there is limited guidance on how to assess and use this evidence in policy and practice. To address this need, the Alliance for Health Policy and Systems Research and the WHO Department of Reproductive Health and Research have supported the development of a new approach called GRADE-CERQual (Grading of Recommendations Assessment, Development and Evaluation-Confidence in the evidence from reviews of qualitative research). The GRADE-CERQual approach is used to describe how much confidence decision-makers and other users can place in findings from qualitative evidence syntheses...

Formal literature type: 
Author(s): 

Etienne V Langlois, Özge Tunçalp, Susan L Norris, Ian Askew and Abdul Ghaffar

 

Year published: 
2018
Month published: 
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