TY - JOUR ID - 3732 TI - “It’s Not Smooth Sailing”: Bridging the Gap Between Methods and Content Expertise in Public Health Guideline Development JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Chartres, Nicholas AU - Grundy, Quinn AU - Parker, Lisa M. AU - Bero, Lisa A. AD - Charles Perkins Centre, Faculty of Medicine and Health, School of Pharmacy, The University of Sydney, Sydney, NSW, Australia AD - Faculty of Nursing, University of Toronto, Toronto, ON, Canada Y1 - 2020 PY - 2020 VL - 9 IS - 8 SP - 335 EP - 343 KW - Guidelines KW - Guideline Development KW - Public Health KW - Methods KW - Australia DO - 10.15171/ijhpm.2019.137 N2 - Background The development of reliable, high quality health-related guidelines depends on explicit and transparent processes, methods aimed at minimising risks of bias and the inclusion of all relevant expertise and perspectives. While the methodological aspects of guidelines have been a focus to improve their quality, less is known about the social processes involved, for example, how guideline group members interact and communicate with one another, and how the evidence is considered in informing recommendations. With this in in mind, we aimed to empirically examine the perspectives and experiences of the key participants involved in developing public health guidelines for the Australian National Health and Medical Research Council (NHMRC).   Design This study was conducted using constructivist grounded theory as described by Charmaz, which informed our sampling, data collection, coding and analysis of interviews with key participants involved in developing public health guidelines.   Setting Australian public health guidelines commissioned by the NHMRC.    Participants Twenty experts that were involved in Australian NHMRC public health guideline development, including working committee members with content topic expertise (n = 16) and members of evidence review groups responsible for evaluating the evidence (n = 4).   Results Public health guideline development in Australia is a divided process. The division is driven by 3 related factors: the divergent disciplinary background and expertise that each group brings to the process; the methodological limitations of the framework, inherited from clinical medicine, that is used to assess the evidence; and barriers to communication between content experts and evidence reviewers around respective roles and methodological limitations.   Conclusion Our findings suggest several improvements for a more functional and unified guideline development process: greater education of the working committee on the methodological process employed to evaluate evidence, improved communication on the role of the evidence review groups and better facilitation of the process so that the evidence review groups feel their contribution is valued. UR - https://www.ijhpm.com/article_3732.html L1 - https://www.ijhpm.com/article_3732_7dd6616002b99f99322e9a48e0ff33d7.pdf ER -