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Table 2 Features of guideline manuals

From: Integrating guideline development and implementation: analysis of guideline development manual instructions for generating implementation advice

Producer

Date published

Pages (#)

Manual objective

Implementation context

Section devoted specifically to guideline implementation

COE (25)

2002

77

Make proposals on the methodology to be used in developing guidelines

Daily practice, Managerial, Patient, Legal, ethical

11 pages in chapter on Dissemination and Implementation

Identify the practical, social, ethical and legal conditions for implementation of guidelines in daily practice

NHMRC (26)

1999, 2000 (supplement)

79

Put forward a method for developing clinical practice guidelines in Australia

Local conditions (population, setting, costs, constraints, patient values/preferences)

9 pages in chapter on Dissemination and Implementation

Reflect concern that greater emphasis should be placed on guideline implementation and evaluation

NICE (27)

2009

266 plus appendix

Explain how NICE develops clinical guidelines

Patient care and patient outcomes in the National Health Service as a whole

6-page chapter

Provide advice to guideline developers on technical aspects of guideline development and the methods used

Cost/resources

NZGG (28)

2001

86 plus appendix

To be used by guideline development teams, to assist them to produce evidence-base clinical practice guidelines

Legislative, administrative, clinical, industrial, consumer

10-page chapter on Dissemination and Implementation with focus on implementation

SIGN (29)

2011

104

Provide a reference tool that may be used by individual members of guideline development groups as they work through the development process

Local National Health Service board

5-page chapter

Allow users to see how SIGN guidelines are developed, and instill confidence … that the recommendations are both internally and externally valid, and feasible for practice

WHO (30)

2008

23

Document the recommended approach to development of WHO guidelines

Global, public health

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  1. COE, Council of Europe; NHMRC, National Health and Medical Research Council (Australia); NICE, National Institute for Health and Clinical Excellence; NZGG, New Zealand Guidelines Group; SIGN, Scottish Intercollegiate Guidelines Network; WHO, World Health Organization.