Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud

Background: Clinical practice guidelines (CPGs) promote better quality and equity in health care and potentially they could improve patients’ outcomes. However, their implementation is hindered by a number of factors including some related to health care professionals. Aim: To assess the...

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Autores principales:	Rodríguez,María Victoria, Prieto,Florencia, Pantoja,Tomás, Letelier,Francisco
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Chile Practice Guideline Primary Health Care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000500602
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spelling	oai:scielo:S0034-988720190005006022020-02-28Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en SaludRodríguez,María VictoriaPrieto,FlorenciaPantoja,TomásLetelier,Francisco Chile Practice Guideline Primary Health Care Background: Clinical practice guidelines (CPGs) promote better quality and equity in health care and potentially they could improve patients’ outcomes. However, their implementation is hindered by a number of factors including some related to health care professionals. Aim: To assess the perceptions and attitudes of primary care physicians regarding CPGs developed by the Chilean Ministry of Health in the context of the Health Sector Reform. Material and Methods: An adaptation of the survey “Knowledge, perceptions and attitudes towards Clinical Practice Guidelines” was sent to 1,264 primary care physicians in Chile and answered completely by 354. The analysis assessed the attitudes towards CPG, their use in primary care and their relationship with socio demographic features of respondents. Results: Eighty two percent of respondents reviewed the flowcharts of the guidelines, 85% consulted their online version. The classification of evidence levels and the strength of recommendations generated a high level of confidence with the guidelines in 70 and 64% of respondents. Eighty five percent considered that CPG could help to standardize clinical practice. The most relevant barrier hindering CPG use was the lack of a brief, simple and easy to access format in 63% of respondents. The three dimensions of the theory of planned behavior (attitude toward behavior, subjective norms, and perceived behavioral control) were associated with a greater frequency of guideline use. A higher age and not being Chilean were associated with a lower frequency of use. Conclusions: The identified factors associated with CPG use should be considered in future guideline design.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.5 20192019-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000500602es10.4067/S0034-98872019000500602
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Chile Practice Guideline Primary Health Care
spellingShingle	Chile Practice Guideline Primary Health Care Rodríguez,María Victoria Prieto,Florencia Pantoja,Tomás Letelier,Francisco Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud
description	Background: Clinical practice guidelines (CPGs) promote better quality and equity in health care and potentially they could improve patients’ outcomes. However, their implementation is hindered by a number of factors including some related to health care professionals. Aim: To assess the perceptions and attitudes of primary care physicians regarding CPGs developed by the Chilean Ministry of Health in the context of the Health Sector Reform. Material and Methods: An adaptation of the survey “Knowledge, perceptions and attitudes towards Clinical Practice Guidelines” was sent to 1,264 primary care physicians in Chile and answered completely by 354. The analysis assessed the attitudes towards CPG, their use in primary care and their relationship with socio demographic features of respondents. Results: Eighty two percent of respondents reviewed the flowcharts of the guidelines, 85% consulted their online version. The classification of evidence levels and the strength of recommendations generated a high level of confidence with the guidelines in 70 and 64% of respondents. Eighty five percent considered that CPG could help to standardize clinical practice. The most relevant barrier hindering CPG use was the lack of a brief, simple and easy to access format in 63% of respondents. The three dimensions of the theory of planned behavior (attitude toward behavior, subjective norms, and perceived behavioral control) were associated with a greater frequency of guideline use. A higher age and not being Chilean were associated with a lower frequency of use. Conclusions: The identified factors associated with CPG use should be considered in future guideline design.
author	Rodríguez,María Victoria Prieto,Florencia Pantoja,Tomás Letelier,Francisco
author_facet	Rodríguez,María Victoria Prieto,Florencia Pantoja,Tomás Letelier,Francisco
author_sort	Rodríguez,María Victoria
title	Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud
title_short	Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud
title_full	Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud
title_fullStr	Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud
title_full_unstemmed	Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud
title_sort	percepciones y actitudes de médicos de atención primaria respecto de las guías de práctica clínicas en el régimen de garantías en salud
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000500602
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Percepciones y actitudes de médicos de atención primaria respecto de las Guías de Práctica Clínicas en el Régimen de Garantías en Salud

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