Incorporating patient preferences in the management of multiple long-term conditions: is this a role for clinical practice guidelines?

Journal of Comorbidity
Charlotte E YoungAllyson J Mutch

Abstract

Clinical practice guidelines provide an evidence-based approach to managing single chronic conditions, but their applicability to multiple conditions has been actively debated. Incorporating patient-preference recommendations and involving consumers in guideline development may enhance their applicability, but further understanding is needed. To assess guidelines that include recommendations for comorbid conditions to determine the extent to which they incorporate patient-preference recommendations; use consumer-engagement processes during development, and, if so, whether these processes produce more patient-preference recommendations; and meet standard quality criteria, particularly in relation to stakeholder involvement. A review of Australian guidelines published from 2006 to 2014 that incorporated recommendations for managing comorbid conditions in primary care. Document analysis of guidelines examined the presence of patient-preference recommendations and the consumer-engagement processes used. The Appraisal of Guidelines for Research and Evaluation instrument was used to assess guideline quality. Thirteen guidelines were reviewed. Twelve included at least one core patient-preference recommendation. Ten used consumer-engag...Continue Reading

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Citations

Jul 10, 2018·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Louisa ChouAnita E Wluka

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