越来越多地开发以患者为导向的知识工具,例如患者版本的指南和患者决策辅助工具,以促进共享决策。在本文中,我们报告了荷兰内部如何就发展的质量标准达成共识,这些工具的内容和治理。
为期12个月的发展和共识研究。该财团开展了四个工作包:(a)审查现有标准;(b)起草质量标准;(c)通过正在进行的工具开发项目的参与性研究,保障标准草案的可接受性和可行性;(d)获得国家利益攸关方对质量标准的正式支持。
我们就以下方面达成共识:8步指导;描述最低质量标准:(a)团队组成;(b)确定范围;(c)确定需求;(d)内容和格式;(e)测试草案;(f)定稿和批准;(g)传播和应用,以及(H)所有权和修订。正在进行的工具开发项目的参与者对总体质量标准持积极态度,但在细节程度上有所分歧。尽管有些人表达了对程序标准的明确愿望,其他人认为,只提供一般方向就足够了。尽管对细节的程度有不同的看法,在三次利益相关者会议上达成了共识。
我们成功地与所有利益攸关方合作,并获得了国家利益攸关方对发展进程的一套最低标准的正式支持,以患者为导向的知识工具的内容和治理。
Patient-directed knowledge tools such as patient versions of guidelines and patient decision aids are increasingly developed to facilitate shared decision making. In this paper, we report how consensus was reached within the Netherlands on quality criteria for development, content and governance of these tools.
A 12-month development and consensus study. The consortium worked on four work packages: (a) reviewing existing criteria; (b) drafting the quality criteria; (c) safe-guarding the acceptability and feasibility of the draft criteria by participatory research in on-going tool development projects; and (d) gaining formal support from national stakeholders on the quality criteria.
We reached consensus on a 8-step guidance; describing minimal quality criteria for (a) the team composition; (b) setting the scope; (c) identifying needs; (d) the content and format; (e) testing the draft; (f) finalizing and approval; (g) dissemination and application, and (h) ownership and revision. The participants of the on-going tool development projects were positive about the quality criteria in general, but divided as to the degree of detail. Whereas some expressed a clear desire for procedural standards, others felt that it would be sufficient to provide only general directions. Despite the different views as to the degree of detail, consensus was reached in three stakeholder meetings.
We successfully collaborated with all stakeholders and achieved formal support from national stakeholders on a set of minimum criteria for the development process, content and governance of patient-directed knowledge tools.