IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v123y2019i7p646-651.html
   My bibliography  Save this article

Assessment of health systems guidance using the Appraisal of Guidelines for Research and Evaluation – Health Systems (AGREE-HS) instrument

Author

Listed:
  • Brouwers, Melissa C.
  • Lavis, John N.
  • Spithoff, Karen
  • Vukmirovic, Marija
  • Florez, Ivan D.
  • Velez, Marcela
  • Kibria, Mohammad
  • Sekercioglu, Nigar
  • Kamler, Elizabeth
  • Halladay, Jillian
  • Sandhu, Jaspreet
  • Ali, Ahmednur
  • Jaffer, Anushka
  • Kiflen, Ruhi
  • Pemberton, Julia

Abstract

Health systems guidance (HSG) documents contain systematically developed statements or recommendations intended to address a health system challenge. The concept of HSG is fairly new and considerable effort has been undertaken to build tools to support the contextualization of recommendations. One example is the Appraisal of Guidelines for REsearch and Evaluation - Health Systems (AGREE-HS), created by international stakeholders and researchers, to assist in the development, reporting and evaluation of HSG. Here, we present the quality appraisal of 85 HSG documents published from 2012 to 2017 using the AGREE-HS. The AGREE-HS consists of five items (Topic, Participants, Methods, Recommendations, and Implementability), which are scored on a 7-point response scale (1=lowest quality; 7=highest quality). Overall, AGREE-HS item scores were highest for the 'Topic' and 'Recommendations' items (means above the mid-point of 4), while the 'Participants', 'Methods', and 'Implementability' items received lower scores. Documents without a specific health focus and those authored by the National Institute for Health and Care Excellence group, achieved higher AGREE-HS overall scores than their comparators. No statistically significant changes in overall scores were observed over time. This is the first time that the AGREE-HS has been applied, providing a current quality status report of HSG and identifying where improvements in HSG development and reporting can be made.

Suggested Citation

  • Brouwers, Melissa C. & Lavis, John N. & Spithoff, Karen & Vukmirovic, Marija & Florez, Ivan D. & Velez, Marcela & Kibria, Mohammad & Sekercioglu, Nigar & Kamler, Elizabeth & Halladay, Jillian & Sandhu, 2019. "Assessment of health systems guidance using the Appraisal of Guidelines for Research and Evaluation – Health Systems (AGREE-HS) instrument," Health Policy, Elsevier, vol. 123(7), pages 646-651.
    • Handle: RePEc:eee:hepoli:v:123:y:2019:i:7:p:646-651
    DOI: 10.1016/j.healthpol.2019.05.004
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851019301113
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2019.05.004?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Robin W M Vernooij & Pablo Alonso-Coello & Melissa Brouwers & Laura Martínez García & CheckUp Panel, 2017. "Reporting Items for Updated Clinical Guidelines: Checklist for the Reporting of Updated Guidelines (CheckUp)," PLOS Medicine, Public Library of Science, vol. 14(1), pages 1-14, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hans te Brake & Andrea Willems & Charlie Steen & Michel Dückers, 2022. "Appraising Evidence-Based Mental Health and Psychosocial Support (MHPSS) Guidelines—PART I: A Systematic Review on Methodological Quality Using AGREE-HS," IJERPH, MDPI, vol. 19(5), pages 1-13, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:123:y:2019:i:7:p:646-651. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.