Implementation science research priorities for Universal Health Coverage

Methodological lessons from the design and implementation of a multicountry modified Delphi study

Datos Bibliográficos

ID16763033
AutoresBreanna K Wodnik (0000-0003-1304-0194, University of Toronto), Prossy Kiddu Namyalo (0000-0002-6166-5482, University of Toronto), Ophelia Michaelides (0000-0002-1844-3630, University of Toronto), Beverley M Essue (0000-0002-1512-4634, University of Toronto), Sumit Kane (0000-0002-4858-7344, The University of Melbourne, autor de correspondencia), Erica Di Ruggiero (0000-0002-8935-7908, University of Toronto)
Año2025
Volumen40
Número3
Páginas422-427
Fecha de publicación2025-03-07
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Policy and Planning (JOURNAL)
Identificadores de la revistaISSN: 0268-1080 • E-ISSN: 1460-2237
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czae119
PMID39658269
OpenAlexW4405218885
IdiomaEN
Citas recibidas1
Referencias citadas30

Delphi studies are rapidly gaining prominence in global health research. However, researchers’ modifications to the Delphi method are often not well-described or justified, limiting opportunities to systematically learn from these studies when the methods are applied to other topics and settings. This paper aims to describe an approach to implementing a modified Delphi study and reflect on the research process in the context of a multicountry study of implementation science research priorities to advance Universal Health Coverage (UHC). We review trends in the use of the modified Delphi method in global health research, outline our three-phased modified Delphi approach, and share reflections on five decision points for implementing the study: (I) identifying and recruiting participants for the expert panel, (II) addressing participant attrition between rounds, (III) justifying the most appropriate cutoff points, (IV) incorporating new items raised by participants in open-ended survey sections, and (V) ensuring maximum variation in perspective in the panel of experts. Insights from this work foster greater understanding of the underlying assumptions for, and interpretation of, ‘modified’ in modified Delphi studies. This study will encourage critical dialogue about points of methodological contention in Delphi methodology and thus are relevant for scaling the use of modified Delphi studies in public health, including global health research

Business · Delphi · Delphi method · Developing country · Economic growth · Economics · Engineering management · Implementation research · Management science · Process management · Psychological intervention · Universal design · Computer Science · Engineering · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing