Implementation science research priorities for Universal Health Coverage

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

Dados 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 correspondente), Erica Di Ruggiero (0000-0002-8935-7908, University of Toronto)
Ano2025
Volume40
Fascículo3
Páginas422-427
Data de publicação2025-03-07
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Policy and Planning (JOURNAL)
Identificadores do periódicoISSN: 0268-1080 • E-ISSN: 1460-2237
EditoraOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czae119
PMID39658269
OpenAlexW4405218885
IdiomaEN
Citações recebidas1
Referências 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