LBI-HTA - Publications - Search - Re-orientation of the Austrian parent-child preventive care programme, part X: further development of the mother-child-pass.

Reinsperger, I. and Piso, B. (2014): Re-orientation of the Austrian parent-child preventive care programme, part X: further development of the mother-child-pass.. Decision Support Document 78.

[img]PDF (Eltern-Kind-Vorsorge neu Teil Xa: Praxisbeispiele für Appraisal-Prozesse) - Sie müssen einen PDF-Viewer auf Ihrem PC installiert haben wie z. B. GSview, Xpdf oder Adobe Acrobat Reader
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[img]PDF (Eltern-Kind-Vorsorge neu Teil Xb: Leitfaden für den Appraisal-Prozess) - Sie müssen einen PDF-Viewer auf Ihrem PC installiert haben wie z. B. GSview, Xpdf oder Adobe Acrobat Reader
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Abstract

During the years 2010-2013, the LBI-HTA conducted 9 reports within the project "Re-orientation of the Austrian parent-child preventive care programme" and developed a comprehensive scientific basis for the further development of the parent-child preventive care programme in Austria. The process of appraising decision support documents, especially the last LBI-HTA report on screening recommendations from international evidence-based guidelines, was not yet defined. Therefore, in project part Xa, we analysed and described national and international practice examples for the appraisal and contextualization of evidence in terms of similarities and differences.

We identified the following similarities of the chosen practice examples: an interdisciplinary and multi-professional guideline development group (sometimes also including patient groups), the declaration of conflicts of interest of the group members, the comprehensive and systematic search and appraisal of the existing evidence (usually using a hierarchical literature search process), formal or informal methods for reaching consensus and for formulating the recommendations based on the available evidence and considering additional aspects (e.g. transferability of study results or the risk-benefit balance). We found small differences between the analysed processes, which can be attributed to different health care systems or institutional conditional frameworks.

On the basis of these results and in consultation with the Austrian Ministry of Health, a process for further developing the mother-child-pass was established (Part Xb). This process consists of two parts: In the first part of the process, an interdisciplinary and multi-professional expert group ("consensus conference") with experts from various professional associations and institutions will be established. In a series of meetings, the results of the guideline synthesis ("Reorientation of the parent-child preventive care programme part IX") for each disease or risk factor will be presented and discussed by the expert group, using defined criteria (based on the WHO screening criteria). The expert group will then formulate recommendations in favour of or against the inclusion of a screening or counselling measure into the new mother-child-pass programme. Each recommendation will have to be justified on the basis of the criteria and will be noted in the protocol. In the second part of the process, all recommendations and statements will be presented to a decision-making body. This committee will examine the recommendations of the expert group with regard to their feasibility ("reality check").

Item Type:Decision Support Document
Keywords:Appraisal, guidelines, screening, pregnancy, childhood
Subjects:WA Public health > WA 108-245 Preventive medicine
WB Practice of medicine > WB 102 Evidence-based medicine
WA Public health > WA 308 Family health
WA Public health > WA 310 Maternal and child welfare
WQ Obstetrics > WQ 200-212 Pregnancy
WQ Obstetrics > WQ 500-505 Postpartum period
WS Pediatrics > WS 420 Newborn infants. Neonatology
Language:German
Series Name:Decision Support Document 78
Deposited on:30 Oct 2014 13:03
Last Modified:30 Oct 2014 13:03

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