Article type
Abstract
Background: NRF (Nursing Research Foundation) Clinical Practice Guidelines are recommendations for social and healthcare professionals with special focus on nursing, following NRF manual based on GRADE, GRADE-CERQual and JBI methods. They are produced in collaboration with expert groups including healthcare professionals with clinical and methodological expertise, and patients and clients. In contemporary care planning, economic aspects are becoming increasingly important. However, in Finland, evidence-based recommendations for healthcare have lacked systematic consideration of economic information.
Objectives: A project ""Cost-effectiveness as a part of clinical guidelines"", funded by NextGenerationEU, is a part of Finland's sustainable growth program. The goal of the project is to strengthen the knowledge base supporting the cost-effectiveness of social and health care and effectiveness-based guidance.
Methods: One arm of the project is piloting an inclusion of economic information, such as the cost-effectiveness and costs, in the NRF Clinical Practice Guidelines. The pilot is bedded within an update of a guideline released originally in 2020: Older people safe discharge from the hospital. Relevant economic evaluation literature is selected based on systematic database search. The methodological quality of included studies is evaluated by two independent researchers, and then, an extracted data formulated as a part of the clinical practice guidelines. Experts in nursing, nursing science, pharmacy and health economics are involved in the pilot.
Results: As an output, an operational model is drawn up to integrate economic information for future NRF National Clinical Guidelines, where the examination of economic information is relevant. In addition, we will elaborate the multidisciplinary synergy during the process.
Conclusions: By integrating economic information into NRF Clinical Practice Guidelines, social and healthcare professionals can be offered increasingly comprehensive tools to implement humane, well-timed, appropriate, and effective care to enhance patient outcomes. Furthermore, it allows appropriate allocation of resources.
Objectives: A project ""Cost-effectiveness as a part of clinical guidelines"", funded by NextGenerationEU, is a part of Finland's sustainable growth program. The goal of the project is to strengthen the knowledge base supporting the cost-effectiveness of social and health care and effectiveness-based guidance.
Methods: One arm of the project is piloting an inclusion of economic information, such as the cost-effectiveness and costs, in the NRF Clinical Practice Guidelines. The pilot is bedded within an update of a guideline released originally in 2020: Older people safe discharge from the hospital. Relevant economic evaluation literature is selected based on systematic database search. The methodological quality of included studies is evaluated by two independent researchers, and then, an extracted data formulated as a part of the clinical practice guidelines. Experts in nursing, nursing science, pharmacy and health economics are involved in the pilot.
Results: As an output, an operational model is drawn up to integrate economic information for future NRF National Clinical Guidelines, where the examination of economic information is relevant. In addition, we will elaborate the multidisciplinary synergy during the process.
Conclusions: By integrating economic information into NRF Clinical Practice Guidelines, social and healthcare professionals can be offered increasingly comprehensive tools to implement humane, well-timed, appropriate, and effective care to enhance patient outcomes. Furthermore, it allows appropriate allocation of resources.