Outcomes of guidelines from health technology assessment organizations in community-based primary care: a systematic mixed studies review.

Publisher: Cambridge University Press Country of Publication: England NLM ID: 8508113 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-6348 (Electronic) Linking ISSN: 02664623 NLM ISO Abbreviation: Int J Technol Assess Health Care Subsets: MEDLINE

Original Publication: Cambridge, England ; New York, NY : Cambridge University Press, c1985-

Technology Assessment, Biomedical*/methods ; Technology Assessment, Biomedical*/standards ; Guidelines as Topic*/standards ; Primary Health Care*/standards; Community Health Services ; Humans

Background: Health technology assessment (HTA) organizations generate guidelines to inform healthcare practices toward improved health outcomes. This review sought to identify and classify outcomes of guidelines from HTA organizations within published research.
Methodology: We performed a systematic mixed studies review of empirical studies that (a) referred to a published guideline from an HTA organization and (b) reported an outcome resulting from a guideline. We searched the published literature in English or French within seven databases. Outcome types were classified within five dimensions of an existing framework for online health information (e.g., relevance, cognitive/affective impact, and use). Subdimensions were inductively developed. A two-phase sequential data synthesis was performed. Phase 1: a hybrid deductive-inductive thematic analysis identified the types of outcomes and displayed their relationships on a concept map. Phase 2: descriptive statistics were tabulated by the type of outcome.
Results: A total of 6,719 records were retrieved through searches on 6 February 2023. After screening, we included 120 observational studies (twenty-one qualitative, ninety-four quantitative, and five mixed methods). Phase 1 identified twenty-nine types of outcomes. The most frequently reported outcomes were within the organizational dimension (reported in ninety-four studies). The most common subdimensions were "Referrals" (thirty-eight occurrences), the "Quality of Prescriptions" (fifteen occurrences), and the "Quality of Diagnosis" (eight occurrences). For Phase 2, we could only generate descriptive statistics on seventeen outcomes. These were almost equally distributed among positive, neutral, and negative effects. Our results contribute to knowledge about the outcomes of HTA guidelines and options for documenting and measuring them in future evaluations.

Biochem Med (Zagreb). 2012;22(3):276-82. (PMID: 23092060)
CMAJ. 2014 Feb 18;186(3):E123-42. (PMID: 24344144)
Ann R Coll Surg Engl. 2020 Apr;102(4):308-311. (PMID: 32081023)
Int J Technol Assess Health Care. 2020 Jun;36(3):187-190. (PMID: 32398176)
Scand J Prim Health Care. 2014 Dec;32(4):193-9. (PMID: 25363143)
Value Health. 2009 Jun;12 Suppl 2:S1-5. (PMID: 19523179)
BMC Fam Pract. 2015 Jul 04;16:81. (PMID: 26141740)
J Public Health (Oxf). 2019 Jun 1;41(2):e185-e191. (PMID: 29912419)
BMC Musculoskelet Disord. 2014 Dec 13;15:427. (PMID: 25496765)
BMC Health Serv Res. 2018 Jul 16;18(1):556. (PMID: 30012130)
J Nutr Health Aging. 2020;24(3):305-311. (PMID: 32115612)
F1000Res. 2020 Dec 1;9:1386. (PMID: 34631036)
BMC Fam Pract. 2013 Jun 27;14:92. (PMID: 23805998)
J Family Med Prim Care. 2020 Feb 28;9(2):1098-1102. (PMID: 32318474)
Health Aff (Millwood). 2010 May;29(5):1030-6. (PMID: 20439902)
Qual Health Res. 2005 Nov;15(9):1277-88. (PMID: 16204405)
Scand J Prim Health Care. 2015;33(3):212-9. (PMID: 26205344)
Colorectal Dis. 2012 Apr;14(4):e177-80. (PMID: 21920007)
Cancer Epidemiol. 2020 Dec;69:101805. (PMID: 32919226)
Syst Rev. 2012 Feb 09;1:7. (PMID: 22588008)
J Affect Disord. 2015 Nov 1;186:171-7. (PMID: 26241666)
Br J Gen Pract. 2021 Mar 26;71(705):e296-e302. (PMID: 33753350)
Br J Gen Pract. 2014 Nov;64(628):e719-27. (PMID: 25348996)
BMJ Open. 2020 May 30;10(5):e033357. (PMID: 32474424)
Spine (Phila Pa 1976). 2015 Dec;40(23):1842-50. (PMID: 26571064)
Fam Pract. 2015 Dec;32(6):681-5. (PMID: 26187223)
J Med Libr Assoc. 2016 Jul;104(3):240-3. (PMID: 27366130)
BMC Health Serv Res. 2020 May 11;20(1):397. (PMID: 32393317)
Heart. 2020 Oct;106(20):1579-1585. (PMID: 32690621)
Eur J Vasc Endovasc Surg. 2018 Dec;56(6):880-884. (PMID: 30150075)
Arch Dis Child. 2014 May;99(5):448-51. (PMID: 24436366)
Health Policy. 2021 Jun;125(6):717-724. (PMID: 33906796)
Eur Arch Otorhinolaryngol. 2017 Jan;274(1):415-420. (PMID: 27416743)
Gac Sanit. 2016 Sep-Oct;30(5):345-51. (PMID: 26895842)
Phlebology. 2017 Sep;32(8):548-552. (PMID: 27811287)
J Gen Intern Med. 2021 Oct;36(10):3015-3022. (PMID: 33469744)
BMC Health Serv Res. 2011 Dec 28;11:348. (PMID: 22204759)
Can Fam Physician. 2019 Jul;65(7):457-459. (PMID: 31300424)
Fam Pract. 2011 Jun;28(3):272-6. (PMID: 21115987)
BMJ Open. 2015 Oct 22;5(10):e008577. (PMID: 26493457)
Br J Gen Pract. 2019 Nov 28;69(689):e819-e826. (PMID: 31685542)
BMJ Open. 2020 Sep 17;10(9):e037884. (PMID: 32948565)
J Assoc Inf Sci Technol. 2019 Jul;70(7):643-659. (PMID: 31423458)
Scand J Prim Health Care. 2022 Sep;40(3):360-369. (PMID: 36380478)
Int J Behav Nutr Phys Act. 2022 Jan 6;19(1):1. (PMID: 34991593)
J Contin Educ Health Prof. 2006 Winter;26(1):13-24. (PMID: 16557505)
Health Technol Assess. 2004 Jul;8(31):1-103, iii. (PMID: 15248937)
BMC Fam Pract. 2016 May 18;17:56. (PMID: 27188438)
J Hypertens. 2011 Nov;29(11):2105-15. (PMID: 21946694)
Health Policy. 2012 Oct;107(2-3):146-56. (PMID: 22939646)
PLoS One. 2020 Jul 10;15(7):e0236064. (PMID: 32649727)
Int J Surg. 2021 Apr;88:105906. (PMID: 33789826)
BMC Fam Pract. 2014 Dec 16;15:199. (PMID: 25511989)
Curr Oncol. 2022 May 30;29(6):3922-3932. (PMID: 35735422)
Br Dent J. 2019 Sep;227(5):403-409. (PMID: 31520045)
Syst Rev. 2017 Mar 23;6(1):61. (PMID: 28335799)
Front Med (Lausanne). 2023 Apr 17;10:1148334. (PMID: 37138744)
PLoS One. 2019 Aug 22;14(8):e0221325. (PMID: 31437198)

Keywords: community-based primary care; guidelines; health outcomes; health technology assessment; systematic mixed studies review

Date Created: 20241114 Date Completed: 20241122 Latest Revision: 20241123

20241123

PMC11579698

10.1017/S0266462324000370

39539094