WHO SMART Guidelines: A New Direction for Guideline Development and Implementation

WANG Qi; LUO Xufei; WANG Zijun; YANG Nan; ZHU Di; LI Zhewei; XIN Xin; YANG Zhenhua; WANG Ling; SHI Qianling; CHEN Yaolong

doi:10.12290/xhyxzz.2023-0274

Volume 14 Issue 4

Jul. 2023

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Medical Journal of Peking Union Medical College Hospital > 2023 > 14(4): 868-874. > DOI: 10.12290/xhyxzz.2023-0274

WANG Qi, LUO Xufei, WANG Zijun, YANG Nan, ZHU Di, LI Zhewei, XIN Xin, YANG Zhenhua, WANG Ling, SHI Qianling, CHEN Yaolong. WHO SMART Guidelines: A New Direction for Guideline Development and Implementation[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 868-874. DOI: 10.12290/xhyxzz.2023-0274

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WHO SMART Guidelines: A New Direction for Guideline Development and Implementation

WANG Qi^{1, 2, 3},
LUO Xufei⁴,
WANG Zijun⁴,
YANG Nan⁴,
ZHU Di⁵,
LI Zhewei⁵,
XIN Xin⁶,
YANG Zhenhua⁷,
WANG Ling⁵,
SHI Qianling⁸,
CHEN Yaolong^{3, 4, 5, 9, 10, 11, ,}

1.
Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton L8S4L8, Canada
2.
McMaster Health Forum, McMaster University, Hamilton L8S4L8, Canada
3.
WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou 730000, China
4.
Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
5.
School of Public Health, Lanzhou University, Lanzhou 730000, China
6.
Electrical and Computer Engineering Department, University of Pittsburgh, Pittsburgh, Pennsylvania 15217, USA
7.
Institute of Information Photonics and Optical Communications, Beijing University of Posts and Telecommunications, Beijing 100000, China
8.
The First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China
9.
Institute of Health Data Science, Lanzhou University, Lanzhou 730000, China
10.
Key Laboratory of Evidence-based Medicine and Knowledge Translation of Gansu Province, Lanzhou University, Lanzhou 730000, China
11.
Research Unit of Evidence-based Evaluation and Guidelines, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China

Funds:

Fundamental Research Funds for the Central Universities lzujbky-2021-ey13

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Corresponding author:
CHEN Yaolong, E-mail: chevidence@lzu.edu.cn
Received Date: June 06, 2023
Accepted Date: June 25, 2023
Available Online: July 09, 2023
Issue Publish Date: July 29, 2023

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Abstract

The quality and methodology of guidelines developed by the World Health Organization (WHO) have been continuously improved after decades of development and reform. However, the implementation of conventional guidelines faces certain challenges, including lengthy timelines, the possible loss of accuracy and consistency of recommendations, and limited capacity of some countries to support guideline adaptation and implement. As a result, the expected effects of guideline recommendations may not be fully achieved. As many countries are investing heavily in digital health systems, both the WHO and its Member States have recognized the importance of digital implementation of guidelines and developed the SMART Guidelines. As a new approach, SMART Guidelines can accelerate the implementation of evidence-based recommendations in the digital age, enhance their compliance and implementability, and improve healthcare quality and population outcomes. This article aims to provide an overview of the background, definition, framework, and knowledge layers of the WHO SMART Guidelines, using antenatal care guidelines as an example for interpretation.
- World Health Organization,
- SMART Guidelines,
- guideline implementation,
- digital health

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