Title |
Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel
|
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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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Mexico | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
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% |