|Prior to tool development||Tool development||Evaluation and Implementation|
1. Conducting a review of the literature to explore the prioritization tools that already exist for a given healthcare service.|
2. Consulting multiple stakeholders (patients, clinicians, managers, researchers, etc.) to identify the need for prioritization tools.
1. Conducting a systematic review of the literature to identify evidence related to prioritization criteria.|
2. Holding group consultations (e.g., nominal groups, Delphi, focus groups) to reach consensus about prioritization criteria to be included in the tool.
3. Involving various stakeholders in the consultations, such as patients, caregivers, and lay people, in order to have multiple points of view about the criteria.
4. Adapting the tool to the context, the setting, and the users (simple, precise, accessible, quick, etc.)
1. Testing the reliability (intra-raters and inter-raters) of the tool with a small sample of patients.|
2. Assessing the validity of the tool by:
a) consulting potential users to determine whether the tool is perceived as covering the concept it purports to measure.
b) comparing to another priority measure (generic or specific to the given service).
3. Evaluating effects on processes and stakeholders.
4. Involving and supporting tool users during implementation.