Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad

Background: Clinical practice guidelines are widely used as tools for improving quality of health care. However, there is increasing concern about limitations in their development process conducting to inconsistent recommendations. During the last decade the use of guidelines has been promoted in th...

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Autores principales:	Pantoja,Tomás, Valenzuela,Lorena, Léniz,Javiera, Castañó,Carla
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Evaluation studies Health care reform Health policy Health services research Practice guidelines, as topic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001100003
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spelling	oai:scielo:S0034-988720120011000032013-05-07Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidadPantoja,TomásValenzuela,LorenaLéniz,JavieraCastañó,Carla Evaluation studies Health care reform Health policy Health services research Practice guidelines, as topic Background: Clinical practice guidelines are widely used as tools for improving quality of health care. However, there is increasing concern about limitations in their development process conducting to inconsistent recommendations. During the last decade the use of guidelines has been promoted in the Chilean health system, but their quality has not yet been evaluated systematically. Aim: To assess the quality of clinical practice guidelines developed by the Chilean guidelines program. Material and Methods: All the guidelines developed by the Chilean program between 2005 and 2009 were retrieved from the Ministry of Health website. Each guideline was assessed independently by three appraisers using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument. Standardized scores were obtained for each dimension in each guideline and across the whole set of guidelines. Results: Sixty guidelines were assessed. The 'scope and purpose' dimension scored significantly higher (mean 82.2%, range: 25.9%-100%) and the 'applicability' dimension scored significantly lower (mean 23.3%, range: 0%-72.4%) than any other dimension. 'Publication date' was the only variable consistently associated with dimension scores. Conclusions: The quality of Chilean clinical practice guidelines is far from ideal. Although they seem to have a strong sense of purpose and vision, methodological procedures should be strengthened, especially those related to applicability.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.11 20122012-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001100003es10.4067/S0034-98872012001100003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Evaluation studies Health care reform Health policy Health services research Practice guidelines, as topic
spellingShingle	Evaluation studies Health care reform Health policy Health services research Practice guidelines, as topic Pantoja,Tomás Valenzuela,Lorena Léniz,Javiera Castañó,Carla Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad
description	Background: Clinical practice guidelines are widely used as tools for improving quality of health care. However, there is increasing concern about limitations in their development process conducting to inconsistent recommendations. During the last decade the use of guidelines has been promoted in the Chilean health system, but their quality has not yet been evaluated systematically. Aim: To assess the quality of clinical practice guidelines developed by the Chilean guidelines program. Material and Methods: All the guidelines developed by the Chilean program between 2005 and 2009 were retrieved from the Ministry of Health website. Each guideline was assessed independently by three appraisers using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument. Standardized scores were obtained for each dimension in each guideline and across the whole set of guidelines. Results: Sixty guidelines were assessed. The 'scope and purpose' dimension scored significantly higher (mean 82.2%, range: 25.9%-100%) and the 'applicability' dimension scored significantly lower (mean 23.3%, range: 0%-72.4%) than any other dimension. 'Publication date' was the only variable consistently associated with dimension scores. Conclusions: The quality of Chilean clinical practice guidelines is far from ideal. Although they seem to have a strong sense of purpose and vision, methodological procedures should be strengthened, especially those related to applicability.
author	Pantoja,Tomás Valenzuela,Lorena Léniz,Javiera Castañó,Carla
author_facet	Pantoja,Tomás Valenzuela,Lorena Léniz,Javiera Castañó,Carla
author_sort	Pantoja,Tomás
title	Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad
title_short	Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad
title_full	Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad
title_fullStr	Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad
title_full_unstemmed	Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad
title_sort	guías de práctica clínica en el régimen de garantías en salud: una evaluación crítica de su calidad
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001100003
work_keys_str_mv	AT pantojatomas guiasdepracticaclinicaenelregimendegarantiasensaludunaevaluacioncriticadesucalidad AT valenzuelalorena guiasdepracticaclinicaenelregimendegarantiasensaludunaevaluacioncriticadesucalidad AT lenizjaviera guiasdepracticaclinicaenelregimendegarantiasensaludunaevaluacioncriticadesucalidad AT castanocarla guiasdepracticaclinicaenelregimendegarantiasensaludunaevaluacioncriticadesucalidad
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Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad

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