Atributos de las guías clínicas del régimen de garantías en salud relacionados con su adopción en la atención primaria: una evaluación en 3 centros de salud familiar / Attributes of recommendations included in clinical guidelines that influence their implementation in clinical practice
Rev. méd. Chile
; 145(11): 1429-1436, nov. 2017. tab
Artículo
en Español
| LILACS
| ID: biblio-902463
Biblioteca responsable:
CL1.1
RESUMEN
Background A number of attributes of recommendations included in clinical guidelines influence their implementation in clinical practice. Aim To assess the association between those attributes and the uptake of recommendations included in four Clinical Guidelines of the Chilean Ministry of Health. Material and Methods The compliance with recommendations was assessed auditing a random sample of 1,547 electronic medical records of patients with four selected clinical conditions (hypertension, diabetes, depression and asthma) in three primary care centers. Nine evaluators judged the presence or absence of six attributes in each recommendation (restrictive/prescriptive, complexity, trialability, actionability, observability, flexibility). We compared the degree of uptake of recommendations with the presence of these attributes. Results The compliance with recommendations was highly variable, with a median of 51% and ranging from 0 to 98%. There was an association between the uptake of recommendations and the presence of three of the above mentioned attributes. There was a higher implementation of restrictive rather than prescriptive recommendations, of rigid rather than flexible recommendations and those recommendations susceptible to be experimented first. Conclusions We have identified three attributes associated with the implementation of recommendations included in four primary care clinical guidelines. These findings could be useful for the guidelines development process in the Chilean national guidelines program.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Meta 3.8 Alcanzar cobertura universal de salud
/
Agenda de Salud Sostenible para las Américas
Problema de salud:
Acuerdos de Entrega
/
Objetivo 6: Sistemas de información para la salud
Base de datos:
LILACS
Asunto principal:
Atención Primaria de Salud
/
Asma
/
Pautas de la Práctica en Medicina
/
Adhesión a Directriz
/
Depresión
/
Diabetes Mellitus
/
Hipertensión
Tipo de estudio:
Estudio de evaluación
/
Guía de práctica clínica
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Niño
/
Femenino
/
Humanos
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2017
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL