Health economic evidence in clinical guidelines in South Africa: a mixedmethods study
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
BMC
Abstract
Evidence-informed clinical practice guidelines (CPGs) are useful tools to inform transparent healthcare
decision-making. Consideration of health economic evidence (HEE) during CPG development in a structured
manner remains a challenge globally and locally. This study explored the views, current practice, training needs and
challenges faced by CPG developers in the production and use of HEE for CPGs in South Africa.This mixed-methods study comprised an online survey and a focus group discussion. The survey was
piloted and subsequently sent to CPG role players - evidence reviewers, CPG panellists, academics involved with
training in relevant disciplines like health economics and public health, implementers and funders. The focus group
participants hold strategic roles in CPG development and health economic activities nationally. The survey
evaluated mean values, measures of variability, and percentages for Likert scales, while narrative components were
thematically analysed. Focus group data were manually coded, thematically analysed and verified.
Description
Keywords
Economic evidence, Focus group, Health economic, Healthcare decision-making, Training needs, South Africa
Citation
Wilkinson, M. et al. (2021). Health economic evidence in clinical guidelines in South Africa: a mixed-methods study. BMC Health Services Research,
21(1),738. https://doi.org/10.1186/s12913-021-06747-z