The injustice of unfit clinical practice guidelines in low-resource realities
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The injustice of unfit clinical practice guidelines in low-resource realities. / Maaløe, Nanna; Ørtved, Anna Marie Rønne; Sørensen, Jane Brandt; Sequeira Dmello, Brenda; van den Akker, Thomas; Kujabi, Monica Lauridsen; Kidanto, Hussein; Meguid, Tarek; Bygbjerg, Ib Christian; van Roosmalen, Jos; Meyrowitsch, Dan Wolf; Housseine, Natasha.
In: The Lancet Global Health, Vol. 9, No. 6, 2021, p. e875-e879.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - The injustice of unfit clinical practice guidelines in low-resource realities
AU - Maaløe, Nanna
AU - Ørtved, Anna Marie Rønne
AU - Sørensen, Jane Brandt
AU - Sequeira Dmello, Brenda
AU - van den Akker, Thomas
AU - Kujabi, Monica Lauridsen
AU - Kidanto, Hussein
AU - Meguid, Tarek
AU - Bygbjerg, Ib Christian
AU - van Roosmalen, Jos
AU - Meyrowitsch, Dan Wolf
AU - Housseine, Natasha
N1 - Correction to The injustice of unfit clinical practice guidelines in low-resource realities (The Lancet Global Health (2021) 9(6) (e875–e879), (S2214109X21000590). DOI: 10.1016/S2214-109X(21)00059-0
PY - 2021
Y1 - 2021
N2 - To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation (eg, human resources) as well as gains and losses (eg, cost-efficiency). Such development of more realistic clinical practice guidelines at the global level will pave the way for simpler and achievable adaptation at local levels. We also urge the development and adaptation of high-quality clinical practice guidelines at national and subnational levels in low-income and middle-income countries through co-creation with end-users, and we encourage global sharing of these experiences.
AB - To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation (eg, human resources) as well as gains and losses (eg, cost-efficiency). Such development of more realistic clinical practice guidelines at the global level will pave the way for simpler and achievable adaptation at local levels. We also urge the development and adaptation of high-quality clinical practice guidelines at national and subnational levels in low-income and middle-income countries through co-creation with end-users, and we encourage global sharing of these experiences.
U2 - 10.1016/S2214-109X(21)00059-0
DO - 10.1016/S2214-109X(21)00059-0
M3 - Review
C2 - 33765437
VL - 9
SP - e875-e879
JO - The Lancet Global Health
JF - The Lancet Global Health
SN - 2214-109X
IS - 6
ER -
ID: 259359810