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Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel. / [Quality and compliance with Clinical Practice Guidelines of Chronic Noncommunicable Diseases in primary care].

Poblano-Verástegui, Ofelia; Vieyra-Romero, Waldo I; Galván-García, Ángel F; Fernández-Elorriaga, María; Rodríguez-Martínez, Antonia I; Saturno-Hernández, Pedro J.
Salud Publica Mex; 59(2): 165-175, 2017 Mar-Apr.
Artigo em Espanhol | MEDLINE | Jun 2017 | ID: mdl-28562717
Resumo: Objective:: 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. Materials and methods:: 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, ß:0. 10) on 5 CS. 70 professionals surveyed about knowledge and use of CPG. Results:: 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. Conclusions:: The quality and implementation of evaluated CPG is deficient constituting an opportunity of improvement in health services.