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

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....

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Autores principales:	Pantoja,Tomás, Valles,Dante, Cordero,María José
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Health Policy Practice Guidelines as Topic Translational Medical Research
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101429
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spelling	oai:scielo:S0034-988720170011014292018-04-06Atributos 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 familiarPantoja,TomásValles,DanteCordero,María José Health Policy Practice Guidelines as Topic Translational Medical Research 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.11 20172017-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101429es10.4067/s0034-98872017001101429
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Health Policy Practice Guidelines as Topic Translational Medical Research
spellingShingle	Health Policy Practice Guidelines as Topic Translational Medical Research Pantoja,Tomás Valles,Dante Cordero,María José 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
description	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.
author	Pantoja,Tomás Valles,Dante Cordero,María José
author_facet	Pantoja,Tomás Valles,Dante Cordero,María José
author_sort	Pantoja,Tomás
title	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
title_short	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
title_full	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
title_fullStr	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
title_full_unstemmed	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
title_sort	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
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101429
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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

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