Enhancing health equity considerations in guidelines : health equity extension of the GIN-McMaster Guideline Development Checklist
Dewidar, Omar (University of Ottawa)
Sayfi, S. (McMaster University (Canadà))
Pardo, J.P. (University of Ottawa)
Welch, V. (University of Ottawa)
Wright, G.C. (Grace C Wright MD PC Inc.)
Akl, Elie A. (American University of Beirut)
Khabsa, Joanne (American University of Beirut Medical Center)
Lin, J.S. (Kaiser Permanente Center for Health Research)
Wang, X. (University of Ottawa Heart Institute)
Darzi, A.J. (McMaster University (Canadà))
Lotfi, Tamara (McMaster University (Canadà))
Pottie, K. (Western University)
Khawandi, J. (University of Kansas Medical Center)
Morgan, R.L. (Case Western Reserve University)
Pereira Nunes Pinto, Ana Carolina (Institut de Recerca Sant Pau)
Tufte, J. (COVID-END Equity group)
Brennan, S.E. (Monash University)
Motilall, A. (McMaster University (Canadà))
Oloyede, O. (Sefako Makgatho Health Sciences University)
Mustafa, R.A. (University of Kansas Health System)
Petkovic, J. (University of Ottawa)
Nieuwlaat, R. (McMaster University (Canadà))
Xia, J. (University of Nottingham Ningbo)
Yao, X. (McMaster University (Canadà))
Chi, Yuan (Beijing Yealth Technology Co.. Ltd)
Schünemann, Holger (Humanitas University)
Tugwell, P. (Bruyère Health Research Institute)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2025
Resum:	Background: Practice guidelines may reduce health inequities by addressing preventable and unjust differences in health. However, health equity considerations are often inadequately integrated into the guideline planning and development process. This article describes a pragmatic approach to enhancing health equity considerations within guidelines by introducing an extension to the GIN-McMaster Guideline Development Checklist (GDC). Methods: We reviewed the latest guidance on enhancing health equity considerations in guideline development to draft the checklist and deployed a global online survey from March 27th, 2024, to May 13th, 2024 to gather consensus. We conducted a methodological review of guideline development handbooks to identify best practices in health equity considerations. An advisory board comprised of diverse interest-holders informed the development of the checklist. We made revisions based on the survey feedback and review findings. Findings: We present 21 extension items spanning 16 of the 18 guideline development topics from the GIN-McMaster GDC. Key additions include planning for engagement with individuals experiencing inequities in guideline development activities, applying an equity lens, and considering health equity in recommendation formulation, dissemination and implementation strategies. This checklist gives value to lived experiences to enrich health equity assessments, complementing empirical evidence to inform guideline recommendations. Guideline developers should assess guideline sensitivity to health equity to determine resource prioritization for optimal implementation of the extension items. Interpretation: The GIN-McMaster health equity extension provides guidance for the streamlined integration of health equity considerations throughout the guideline development process. Using this tool alongside the original GIN-McMaster GDC may lead to more equitable and impactful guidelines. Funding: This project was partially funded by Public Health Agency of Canada. The funder was not involved in the conceptualization or design or the conduct of the project.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Diversity and inclusion ; GIN-McMaster guideline checklist ; Guidelines ; Health equity
Publicat a:	EClinicalMedicine, Vol. 82 (april 2025) , p. 103135, ISSN 2589-5370

DOI: 10.1016/j.eclinm.2025.103135
PMID: 40224676

12 p, 479.0 KB

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