Addressing implementation challenges when developing clinical practice guidelines : A case study of the Swedish national guidelines for methods of preventing disease

TL;DRAbstract

Clinical practice guidelines (CPG) are widely used tools to enhance quality in healthcare by spreading new knowledge and translating evidence into practice. The first generation of CPGs was developed with the characteristic of evidence based goals. The number of CPGs has increased rapidly. But despite efforts to improve development of CPGs, gaps between research and clinical practice are still apparent. In Sweden, the National Board of Health and Welfare (NBHW) is responsible for national CPGs. Their guideline development model represents second generation CPGs, and balances scientific evidence, financial costs and ethical considerations with the benefit of an evidence based method when prioritizing and formulating recommendations. NBHW recently developed CPGs for prevention that focus on tobacco, alcohol, physical activity and eating habits. The purpose of this study is to investigate and evaluate the process of developing CPGs that address prevention, with a specific focus on how to

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