Table 1 Characteristics of cases studied
From: Knowledge mobilization in the context of health technology assessment: an exploratory case study
| Â | Request's origin | Evaluation question | Types of issues | Types of evidence | Key stakeholders | Types of interaction | Dissemination strategies |
|---|---|---|---|---|---|---|---|
CFS | Department of Health and Social services (DOHSS) responding to pressures from a patient association | -Synthesis of evidence on CFS and its treatments -Patients' needs -Actual modes of intervention -Degree of professional education and training on CFS | -Patients needs, values and preferences -Professional -Organizational | -Scientific -Scientific on context -Colloquial | -DOHSS -Patient association -CFS patients -Health and social services professionals and their supporting organizations -Public health insurance agency | -Inquiry (semi-structured interviews) -Consultations: individual and group interviews, online survey, etc | -Report sent to stakeholders -Document of sensitization for the public sent to patients' network and through the network of health and social services -Article published in a medical journal |
Laser 3B, 4 and IPL | DOHSS responding to concerns towards risks raised by an association of dermatologists | Risks related to the use of laser class 3B and 4 and IPL for cosmetic procedures by non-physicians, without medical supervision | -Safety -Regulatory and legal frame -Professional (training) | -Scientific (safety) -Scientific on context -Colloquial evidence | -DOHSS -Association of dermatologists -Association of aestheticians -College of physicians -Sectoral committee on personal services workers -Concerned government departments (employment, education, health and social services) | -Collaboration and knowledge sharing and exchange | -Interactions with key actors through the whole process, including discussions on recommendations prior to publication -Report sent to stakeholders -Conferences |
Advanced life support (ALS) in emergency prehospital services | DOHSS responding to a political crisis over pressures from an emergency services organization to introduce ALS | -Role of ALS in emergency prehospital services -Efficacy and conditions of implementation | -Efficacy and effectiveness -Organizational -Professional (training) | -Scientific (efficacy and safety) -Scientific on context -Colloquial | -DOHSS -Emergency services organisation (managers, physicians, paramedics) -DOHSS (emergency medical services) -College of physicians | -Consultation | -Widespread diffusion due to a highly mediatized and politicized context of publication and consensus of all parties around the recommendations |
Mild traumatic brain injuries (MTBI) | DOHSS due to discrepancies in the interventions on MTBI | -Determine clinical and organisational parameters to guide interventions for MTBI | -Clinical practices -Organization of care and services | -Scientific -Scientific on context -Colloquial | -DOHSS -Public automobile insurance agency -Associations of health centers -Concerned medical associations -College of physicians -regional representatives -traumatology network | Collaboration and empowerment | -From the beginning through a stakeholders committee -Material sent to all concerned centers (guidelines, DVD, emergency posters, brochures, flyers) -Training offered -Monitoring process |
STEMI care | DOHSS in response to time delays to treatment for STEMI patients | -Systematic field evaluation of STEMI care (primary study) | -Organizational -Clinical | -Scientific: Primary data on time delays to treatment | -DOHSS -Paramedics, emergency physicians, cardiologists, hospital managers, regional agencies managers -Tertiary cardiology expert committee -Regional health agencies -Health centers (professional services, emergency and cardiology services) and teaching hospitals -Emergency services organizations | -Information -Presentation of the project to stakeholders throughout the province -Training of hospital personnel in data collecting | -Presenting results in person to stakeholders throughout the province -Results on CD sent to all hospital professional services -Publication in a medical journal -Conferences -Collaborations with other provinces -Implementing of a monitoring mechanism by planning the conduct of a STEMI two years later |
Clinical Guidelines For Paediatric Obesity treatment | Department of Health in response to the increasing prevalence of paediatric obesity and absence of clinical guidelines for its treatment | Clinical guidelines on paediatric obesity treatment | -Support clinical practice -Health care and services organisation -Patients' values and preferences | -Scientific (safety, efficacy of treatments) -Scientific on context -Colloquial | -Department of Health and Social services -Concerned health and social services professionals (primary, secondary, tertiary healthcare settings) -Parents -Professional orders | Collaboration throughout the process through multiple committees for the determining of clinical issues, appraisal of scientific evidence, formulation of recommendations, advices on guidelines format | To be determined with the stakeholders, who will collaborate to the guidelines' dissemination |