Bruyère Research Institute, Bruyère Continuing Care and University of Ottawa, 85 Primrose Ave East, Ottawa, Ontario, Canada.
Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Syst Rev. 2020 Feb 1;9(1):21. doi: 10.1186/s13643-020-1272-5.
Stakeholder engagement has become widely accepted as a necessary component of guideline development and implementation. While frameworks for developing guidelines express the need for those potentially affected by guideline recommendations to be involved in their development, there is a lack of consensus on how this should be done in practice. Further, there is a lack of guidance on how to equitably and meaningfully engage multiple stakeholders. We aim to develop guidance for the meaningful and equitable engagement of multiple stakeholders in guideline development and implementation.
This will be a multi-stage project. The first stage is to conduct a series of four systematic reviews. These will (1) describe existing guidance and methods for stakeholder engagement in guideline development and implementation, (2) characterize barriers and facilitators to stakeholder engagement in guideline development and implementation, (3) explore the impact of stakeholder engagement on guideline development and implementation, and (4) identify issues related to conflicts of interest when engaging multiple stakeholders in guideline development and implementation.
We will collaborate with our multiple and diverse stakeholders to develop guidance for multi-stakeholder engagement in guideline development and implementation. We will use the results of the systematic reviews to develop a candidate list of draft guidance recommendations and will seek broad feedback on the draft guidance via an online survey of guideline developers and external stakeholders. An invited group of representatives from all stakeholder groups will discuss the results of the survey at a consensus meeting which will inform the development of the final guidance papers. Our overall goal is to improve the development of guidelines through meaningful and equitable multi-stakeholder engagement, and subsequently to improve health outcomes and reduce inequities in health.
利益相关者的参与已被广泛认为是制定和实施指南的必要组成部分。虽然制定指南的框架表达了需要让那些可能受到指南建议影响的人参与到指南的制定中来，但在实践中如何做到这一点却缺乏共识。此外，对于如何公平、有意义地让多个利益相关者参与进来，也缺乏指导。我们的目标是为多利益相关者在指南制定和实施中的公平和有意义的参与制定指导意见。
这将是一个多阶段的项目。第一阶段是进行一系列四项系统评价。这些系统评价将（1）描述指南制定和实施中利益相关者参与的现有指导意见和方法，（2）描述指南制定和实施中利益相关者参与的障碍和促进因素，（3）探讨利益相关者参与对指南制定和实施的影响，（4）确定在指南制定和实施中涉及多个利益相关者的利益冲突相关问题。
我们将与我们的多方面、多元化的利益相关者合作，制定多利益相关者参与指南制定和实施的指导意见。我们将利用系统评价的结果来制定一份候选指导建议草案，并通过对指南制定者和外部利益相关者进行在线调查，广泛征求对草案的意见。一个由来自所有利益相关者群体的代表组成的受邀小组将在共识会议上讨论调查结果，该会议将为最终指导文件的制定提供信息。我们的总体目标是通过公平、有意义的多利益相关者参与来改进指南的制定，并随后改善健康结果和减少健康方面的不平等。
