Guías de práctica clínica: una introducción a su elaboración e implementación

Clinical Practice Guidelines (CPG), defined as "statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options", are tools currently present in every leve...

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Autores principales:	Pantoja,Tomás, Soto,Mauricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Practice guidelines as topic Review Standards
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100015
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spelling	oai:scielo:S0034-988720140001000152014-08-18Guías de práctica clínica: una introducción a su elaboración e implementaciónPantoja,TomásSoto,Mauricio Practice guidelines as topic Review Standards Clinical Practice Guidelines (CPG), defined as "statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options", are tools currently present in every level of our health system. This article introduces guidelines development and implementation processes and it reviews the Chilean experience. The main stages in a CPG development are question formulation, search and analysis of the existing evidence related to those questions, and making judgments about that evidence in order to formulate recommendations for clinical practice. At the national level, guidelines development processes are conducted by the Ministry of Health, and even when recent evaluations show some good results, there are a number of aspects - such as applicability - that should be improved. On the other hand, CPG should be implemented using effective strategies in order to obtain changes in clinical practice and patients' outcomes. The existing evidence about the effects of the different implementation strategies shows modest and highly variable results. At the national level, there is a dearth of research about the design and evaluation of implementation strategies, and most of it has been focused in the evaluation of adherence to specific recommendations.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.1 20142014-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100015es10.4067/S0034-98872014000100015
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Practice guidelines as topic Review Standards
spellingShingle	Practice guidelines as topic Review Standards Pantoja,Tomás Soto,Mauricio Guías de práctica clínica: una introducción a su elaboración e implementación
description	Clinical Practice Guidelines (CPG), defined as "statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options", are tools currently present in every level of our health system. This article introduces guidelines development and implementation processes and it reviews the Chilean experience. The main stages in a CPG development are question formulation, search and analysis of the existing evidence related to those questions, and making judgments about that evidence in order to formulate recommendations for clinical practice. At the national level, guidelines development processes are conducted by the Ministry of Health, and even when recent evaluations show some good results, there are a number of aspects - such as applicability - that should be improved. On the other hand, CPG should be implemented using effective strategies in order to obtain changes in clinical practice and patients' outcomes. The existing evidence about the effects of the different implementation strategies shows modest and highly variable results. At the national level, there is a dearth of research about the design and evaluation of implementation strategies, and most of it has been focused in the evaluation of adherence to specific recommendations.
author	Pantoja,Tomás Soto,Mauricio
author_facet	Pantoja,Tomás Soto,Mauricio
author_sort	Pantoja,Tomás
title	Guías de práctica clínica: una introducción a su elaboración e implementación
title_short	Guías de práctica clínica: una introducción a su elaboración e implementación
title_full	Guías de práctica clínica: una introducción a su elaboración e implementación
title_fullStr	Guías de práctica clínica: una introducción a su elaboración e implementación
title_full_unstemmed	Guías de práctica clínica: una introducción a su elaboración e implementación
title_sort	guías de práctica clínica: una introducción a su elaboración e implementación
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100015
work_keys_str_mv	AT pantojatomas guiasdepracticaclinicaunaintroduccionasuelaboracioneimplementacion AT sotomauricio guiasdepracticaclinicaunaintroduccionasuelaboracioneimplementacion
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Guías de práctica clínica: una introducción a su elaboración e implementación

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