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Article History

Received: 15 March 2024

Accepted: 18 November 2024

First Online: 23 December 2024

Declarations

:

: The Medical Ethics Committee of Amsterdam UMC reviewed the study protocol and decided that the study did not fall under the scope of the Dutch Medical Research Involving Human Subjects Act, since the participants were not subject to medical procedures nor required to follow rules of behaviour []. Therefore, no further formal ethical approval was required (statement ID 2021–0417). All participants signed an informed consent form before the start of the interview and received an interview summary for member checking afterwards. The transcripts and audio recordings were stored and analysed in accordance with the General Data Protection Regulation. To ensure participant confidentiality, interview participants and their respected guideline organizations were categorized into four distinct groups: guideline developers (scientific/professional organizations and knowledge institutes), governmental agencies, health insurers and other national organizations. Findings are presented using these group terms.

: Not applicable.

: We disclose that D.D. and I.B., besides their roles as researchers, are employed by Zorginstituut Nederland, a guideline organization. While this may introduce potential bias or conflicts of interest, we have mitigated this by extensively addressing and discussing the matter in our group discussions on study design and result interpretation.