Characteristics of included studies (n = 20) and effects on quality of care
Process/structure of care | Patient outcomes | |||||
Not effective | Partly effective | Mostly effective | Not effective | Partly effective | Mostly effective | |
Type of healthcare provider | ||||||
General practitioners | 2 | 4 | 7 | 2 | 2 | 1 |
Medical specialists | 0 | 1 | 2 | 1 | 0 | 0 |
Other healthcare providers | 0 | 1 | 2 | 0 | 0 | 3 |
Type of guideline | ||||||
National | 1 | 4 | 9 | 3 | 2 | 3 |
Regional/local | 1 | 2 | 2 | 0 | 0 | 1 |
Subject of study | ||||||
Preventive care | 0 | 0 | 5 | 0 | 0 | 0 |
Diagnosis and treatment | 1 | 6 | 4 | 3 | 1 | 3 |
Prevention/diagnosis and treatment | 1 | 0 | 2 | 0 | 1 | 1 |
Study design | ||||||
Cluster RCT | 2 | 5 | 2 | 1 | 1 | 2 |
Controlled before and after study | 0 | 1 | 4 | 1 | 1 | 0 |
Interrupted time series design | 0 | 0 | 1 | 1 | 0 | 0 |
Uncontrolled before and after study | 0 | 0 | 4 | 0 | 0 | 2 |
Implementation strategy | ||||||
Single | 0 | 0 | 2 | 0 | 0 | 1 |
Multifaceted | 2 | 6 | 9 | 3 | 2 | 3 |
RCT, randomised controlled trial.
Mostly effective, significant effect on more than half of the outcome measures was reported; not effective, no significant effect on any of the outcome measures was reported; partly effective, significant effect on half or less than half of the outcome measures was reported.