Guías de práctica clínica en atención primaria: Una evaluación crítica

Background: There are doubts about the real usefulness of clinical guidelines to induce changes in practice, specially in primary health care. Those guidelines with inconsistent recommendations can even be misleading. Aim: To assess the quality of Chilean primary health care guidelines and to identi...

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Autores principales:	Pantoja,Tomás, Strain,Heather, Valenzuela,Lorena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Patient care management Practice guidelines Primary health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001000008
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spelling	oai:scielo:S0034-988720070010000082007-12-20Guías de práctica clínica en atención primaria: Una evaluación críticaPantoja,TomásStrain,HeatherValenzuela,Lorena Patient care management Practice guidelines Primary health care Background: There are doubts about the real usefulness of clinical guidelines to induce changes in practice, specially in primary health care. Those guidelines with inconsistent recommendations can even be misleading. Aim: To assess the quality of Chilean primary health care guidelines and to identify factors associated with high quality guidelines. Material and methods: Chilean primary care guidelines published and disseminated using any strategy 1999 and 2004 were analyzed. Each selected guideline was assessed independently by two evaluators using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument following standardized instructions. Descriptive statistics for each dimension of the AGREE instrument were calculated for each guideline. Results: A total of 33 guidelines were retrieved. Fifteen were located using a manual search and 18 from electronic sources. Twenty four did not match our definition of guidelines, therefore only nine were included in the final assessment. There were important differences in the scores obtained by each guideline in different dimensions, with relevant methodological shortcomings. However, no significant differences in scores were found when guidelines were compared by year of elaboration. Conclusions: Our results suggest that previous efforts in primary health care guideline development were misdirected and that important changes are necessary to generate high quality guidelinesinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.10 20072007-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001000008es10.4067/S0034-98872007001000008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Patient care management Practice guidelines Primary health care
spellingShingle	Patient care management Practice guidelines Primary health care Pantoja,Tomás Strain,Heather Valenzuela,Lorena Guías de práctica clínica en atención primaria: Una evaluación crítica
description	Background: There are doubts about the real usefulness of clinical guidelines to induce changes in practice, specially in primary health care. Those guidelines with inconsistent recommendations can even be misleading. Aim: To assess the quality of Chilean primary health care guidelines and to identify factors associated with high quality guidelines. Material and methods: Chilean primary care guidelines published and disseminated using any strategy 1999 and 2004 were analyzed. Each selected guideline was assessed independently by two evaluators using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument following standardized instructions. Descriptive statistics for each dimension of the AGREE instrument were calculated for each guideline. Results: A total of 33 guidelines were retrieved. Fifteen were located using a manual search and 18 from electronic sources. Twenty four did not match our definition of guidelines, therefore only nine were included in the final assessment. There were important differences in the scores obtained by each guideline in different dimensions, with relevant methodological shortcomings. However, no significant differences in scores were found when guidelines were compared by year of elaboration. Conclusions: Our results suggest that previous efforts in primary health care guideline development were misdirected and that important changes are necessary to generate high quality guidelines
author	Pantoja,Tomás Strain,Heather Valenzuela,Lorena
author_facet	Pantoja,Tomás Strain,Heather Valenzuela,Lorena
author_sort	Pantoja,Tomás
title	Guías de práctica clínica en atención primaria: Una evaluación crítica
title_short	Guías de práctica clínica en atención primaria: Una evaluación crítica
title_full	Guías de práctica clínica en atención primaria: Una evaluación crítica
title_fullStr	Guías de práctica clínica en atención primaria: Una evaluación crítica
title_full_unstemmed	Guías de práctica clínica en atención primaria: Una evaluación crítica
title_sort	guías de práctica clínica en atención primaria: una evaluación crítica
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001000008
work_keys_str_mv	AT pantojatomas guiasdepracticaclinicaenatencionprimariaunaevaluacioncritica AT strainheather guiasdepracticaclinicaenatencionprimariaunaevaluacioncritica AT valenzuelalorena guiasdepracticaclinicaenatencionprimariaunaevaluacioncritica
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Guías de práctica clínica en atención primaria: Una evaluación crítica

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