Akl Elie A, Welch Vivian, Pottie Kevin, Eslava-Schmalbach Javier, Darzi Andrea, Sola Ivan, Katikireddi Srinivasa Vittal, Singh Jasvinder, Murad M Hassan, Meerpohl Joerg, Stanev Roger, Lang Eddy, Matovinovic Elizabeth, Shea Beverley, Agoritsas Thomas, Alexander Paul E, Snellman Alexandra, Brignardello-Petersen Romina, Gloss David, Thabane Lehana, Shi Chunhu, Stein Airton T, Sharaf Ravi, Briel Matthias, Guyatt Gordon, Schünemann Holger, Tugwell Peter
Clinical Research Institute, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 2020, Lebanon; Department of Medicine, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 2020, Lebanon; AUB GRADE Center, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 2020, Lebanon.
Bruyére Research Institute, Bruyére Continuing Care and University of Ottawa, Bruyère St., Ottawa, Ontario, K1N 5C8, Canada.
J Clin Epidemiol. 2017 Oct;90:68-75. doi: 10.1016/j.jclinepi.2017.01.017. Epub 2017 May 9.
To provide guidance for guideline developers on how to consider health equity at key stages of the guideline development process.
Literature review followed by group discussions and consensus building.
The key stages at which guideline developers could consider equity include setting priorities, guideline group membership, identifying the target audience(s), generating the guideline questions, considering the importance of outcomes and interventions, deciding what evidence to include and searching for evidence, summarizing the evidence and considering additional information, wording of recommendations, and evaluation and use. We provide examples of how guidelines have actually considered equity at each of these stages.
Guideline projects should consider the aforementioned suggestions for recommendations that are equity sensitive.
为指南制定者提供有关如何在指南制定过程的关键阶段考虑健康公平性的指导。
文献综述,随后进行小组讨论并达成共识。
指南制定者可考虑公平性的关键阶段包括确定优先事项、指南制定小组的成员构成、确定目标受众、提出指南问题、考虑结果和干预措施的重要性、决定纳入哪些证据并检索证据、总结证据并考虑其他信息、建议的措辞以及评估和使用。我们提供了指南在这些阶段实际考虑公平性的示例。
指南项目应考虑上述建议,以制定对公平性敏感的建议。