A systematic approach to implementing and evaluating clinical guidelines: The results of fifteen years of Preventive Child Health Care guidelines in the Netherlands

Margot A.H. Fleuren, Paula van Dommelen and Trudy Dunnink

Social Science & Medicine, 2015, vol. 136-137, 35-43

Abstract: Preventive Child Health Care (PCHC) services are delivered to all children in the Netherlands by approximately 5500 doctors, nurses and doctor's assistants. In 1996, The Dutch Ministry of Health, Welfare and Sports asked for the development of evidence-based PCHC guidelines. Since 1998, twenty-five guidelines have been published. Levels of implementation affect outcomes and so implementation and evaluation of the actual use of guidelines are essential. At the outset, there was a national implementation plan with six main activities: a) determinant analysis before the implementation of a guideline, b) innovation strategies tailored to the determinants, c) dissemination to all professionals, d) ongoing evaluation of the awareness and use of the guidelines, e) trained implementation coordinator(s) in each PCHC organization and f) a national help desk.

Keywords: Implementation; Determinants; Evaluation; Clinical practice guidelines; Involving stakeholders (search for similar items in EconPapers)
Date: 2015
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DOI: 10.1016/j.socscimed.2015.05.001

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