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Information on mortality risk is critical for the improvement of guidelines for quality care of malnourished children and to identify areas where future research and reflection are needed.
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This finding is in accordance with a review published in 2012 by Kung et al., which found no clear improvement of guideline quality over the past 2 decades [27].
The secondary objective is the improvement of functional status and reduction of (work) disability of patients with LBP, and improvement of guideline adherence by HCPs.
Improvement of guideline adherence was also shown by Shiffman et al. [ 22] in their systematic review on the effectiveness of computer-based guideline implementation systems.
Our study points out that the improvement of guideline adherent care is far more than getting physicians to follow the guidelines.
In accordance, this study comprised an evaluation of the potential effectiveness of the programme as regards the improvement of guideline adherence and its determinants, and a process evaluation, to evaluate the programme's implementation feasibility, acceptability and fidelity.
Changes should be made to improve public health by increasing implementation of the guidelines, but proper implementation can be achieved with active promotion of the guideline contents [ 16] and additional efforts for the improvement of the guidelines in evidence-based and also in expert-consensus manners.
Our results differ from a 2012 review by Kung et al. [32] who found that very small improvement of medical guidelines occurred over the previous two decades.
Lastly, further improvement of the guidelines is needed.
This knowledge may be used for continuous improvement of the guidelines.
Validation, local adaptation, and improvement of these guidelines using studies incorporating both patient outcomes and laboratory end points will be needed.
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CEO of Professional Science Editing for Scientists @ prosciediting.com