Guías de práctica clínica en atención primaria: Una evaluación crítica / Clinical practice guidelines in primary health care: A critical appraisal
Rev. méd. Chile
;
135(10): 1282-1290, oct. 2007. graf, tab
Artículo
en Español
| LILACS
| ID: lil-470708
ABSTRACT
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 andmethods:
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Atención Primaria de Salud
/
Guías de Práctica Clínica como Asunto
/
Adhesión a Directriz
Tipo de estudio:
Estudios de evaluación
/
Guía de Práctica Clínica
/
Estudio pronóstico
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2007
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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