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Towards local implementation of Dutch health policy guidelines

A concept-mapping approach

Bibliographic Data

ID22944231
AuthorsT J M Kuunders (0000-0001-8266-0544, Tilburg University, corresponding author), M J H van Bon-Martens (0000-0001-6853-9705, Tilburg University), Ien A M van de Goor (Tilburg University), T G W M Paulussen (0000-0003-4978-6246, Netherlands Organisation for Applied Scientific Research), Hans Van Oers (0000-0003-4063-2240, Tilburg University), Hans A M Van Oers (Tilburg University)
Year2018
Volume33
Issue4
Pages635-647
Publication date2018-08-01
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dax003
PMID28335022
OpenAlexW2590204461
LanguageEN
Citations received1
References cited18

To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful implementation of the guideline were identified. Differences and similarities in perceptions of these characteristics between RHSs and developers were explored. Separate concept mapping procedures were executed in two RHSs, one with representatives from partner local health organizations and municipalities, the second with RHS members only. A third map was conducted with the developers of the guideline. All mapping procedures followed the same design of generating statements up to interpretation of results with participants. Concept mapping, as a practical implementation tool, will be discussed in the context of international research literature on guideline implementation in public health. Guideline developers consider implementation successful when substantive components (health issues) of the guidelines, content are visible in local policy practice. RHSs, local organizations and municipalities view the implementation process itself within and between organizations as more relevant, and state that usability of the guideline for municipal policy and commitment by officials and municipal managers are critical targets for successful implementation. Between the RHSs, differences in implementation targets were smaller than between RHSs and guideline developers. For successful implementation, RHSs tend to focus on process targets while developers focus more on the thematic contents of the guideline. Implications of these different orientations for implementation strategies are dealt with in the discussion.

Business · Context (archaeology) · Focus group · Guideline · Process (computing) · Process management · Qualitative research · Sociology · Thematic analysis · Usability · Clinical practice guidelines implementation · Computer Science · Health Policy Implementation Science · Marketing · Medicine · Primary Care and Health Outcomes

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Citations per year0.2
Citation span2021 - 2021 (1)
Highly citedNo

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