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Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel

Overview of attention for article published in Salud Pública de México, March 2017
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Title
Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel
Published in
Salud Pública de México, March 2017
DOI 10.21149/8285
Pubmed ID
Authors

Ofelia Poblano-Verástegui, Waldo I Vieyra-Romero, Ángel F Galván-García, María Fernández-Elorriaga, Antonia I Rodríguez-Martínez, Pedro J Saturno-Hernández

Abstract

To assess the quality and compliance of clinical practice guidelines (CPG) applicable to chronic non-communicable diseases (CNCD) in primary healthcare (CS), and views of staff on the barriers, facilitators and their use. 18 valued CPG with AGREEII, 3 are selected to develop indicators and assess compliance using lot quality acceptance sample (LQAS, standard 75 / 95% threshold 40 / 75% respectively, α:0. 05, β:0. 10) on 5 CS. 70 professionals surveyed about knowledge and use of CPG. Average quality of the CPG was 57.2%; low rating in domains: "Applicability" (<25%), "Stakeholder involvement" (43.5%) and "Rigour of development" (55.0%). Compliance in CS ranges from 39 to 53.4%. Professionals show uneven knowledge of CPG; 44 to 45% (according to CPG), they declare that they are not used, they identify as main barriers the lack of training, and their difficult accessibility and management. The quality and implementation of evaluated CPG is deficient constituting an opportunity of improvement in health services.

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Mendeley readers

The data shown below were compiled from readership statistics for 119 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 119 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 27 23%
Student > Bachelor 16 13%
Researcher 10 8%
Student > Postgraduate 6 5%
Professor 5 4%
Other 18 15%
Unknown 37 31%
Readers by discipline Count As %
Medicine and Dentistry 44 37%
Nursing and Health Professions 18 15%
Social Sciences 5 4%
Pharmacology, Toxicology and Pharmaceutical Science 3 3%
Biochemistry, Genetics and Molecular Biology 2 2%
Other 9 8%
Unknown 38 32%