Page 74 - Shared Guideline Development Experiences in Fertility Care

Chapter 4
Structuring the Wiki Tool
Division of the dra recommendations into sections and subsections determined the structure of the wiki. Dra recommendations were divided into 4 sections (EB, JK), consisting of 3 sections referring to the care delivered by the 3 most involved professionals and a general section for recommendations important to all professionals: general care, care delivered by a general practitioner, gynaecological care, and urological care. To provide more structure in the wiki, the dra recommendations in each of these 4 sections were subdivided into 8 subsections (EB, JK) based on aspects of care that are known to be important to infertile patients: 3 medical–technical aspects (i.e., examination, therapy, and referral), 4 patient-centred aspects (i.e., organization of care, information provision, communication, and sta attitudes), and 1 general aspect (i.e., general) [29]. ese subsections were presented on the wiki in the following order: general (recommendations in general and those that don’t apply to other care aspects), information provision (recommendations on oral and paper-based information provision), organization (recommendations on the organization of fertility care, for example, adjustment of care between di erent health care professionals, accessibility of care), sta attitudes (recommendations on the attitude of health care professionals toward the patient, for example, having empathy), communication (recommendations on communication between the health care professional and the patient), examination (recommendations on examinations during fertility care), therapy (recommendations on therapy, namely infertility treatment by, for example, in vitro fertilization), and referral (recommendations on referral from one health care professional to another, for example, from a general practitioner to a gynaecologist). Discrepancies in division and subdivision of the dra recommendations were resolved through discussion.
Patient Participation in CPG Development
Recruiting Participants
We recruited participants for the wiki evaluation through mailings to members of Freya, the Dutch patients’ association for infertility; advertisements in Freya’s quarterly journal; links on websites of Freya and the professional societies (e.g., general practitioners, gynaecologists, urologists, and clinical embryologists); and links in social media (e.g., Hyves, Twitter, and Facebook). In addition, we sent
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