Artikel
Decision aids process to produce a guideline for a heterogeneous population with multiple disabilities: the case of the homeless
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Veröffentlicht: | 10. Juli 2012 |
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Background: The National Institute for Excellence in Health and Social Services (Quebec, Canada) has received the mandate to elaborate a guideline on homelessness. However, homelessness today affects men, women, youth, seniors, and even whole families. In addition, the homeless people face multiple social problems (e.g., discrimination, violence and prosecution), physical health problems, mental health problems, and addiction to drugs and alcohol. Social interventions are multiple and multifactorial and must be adapted to the specificity of the targeted clientele and environment of intervention. How then help decision makers specify its action plan in the development of guidelines on homelessness?
Methods: Interactions with the decision makers, literature research of evidence-based guidelines and systematic reviews, scoping documentation, information processing by means of qualitative analysis software QSR NVivo and contextual analyse.
Results: The method allowed to classify the available literature following the PICO approach, to define the studied interventions, the problems specific to the stakeholders or the environment that will be addressed in the guideline and the particular professional activities to consider. The process has also allowed to evaluate the feasability of implementing a guideline in the field, particularly in terms of political will, professional culture, human and financial resources, capacity to change, and of acceptability of the guideline.
Discussion: The method helped the decider to establish his three-year activity plan in view of the development of the guidedelines on homelessness.
Implication for producers of guidelines: The process is of short duration and promising strategy for decision supports.