Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad

Pantoja, Tomás; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile; Valenzuela, Lorena; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile; Léniz, Javiera; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile; Castañón, Carla; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile

dc.contributor	International Development Research Center, Canada	es-ES
dc.creator	Pantoja, Tomás; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile
dc.creator	Valenzuela, Lorena; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile
dc.creator	Léniz, Javiera; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile
dc.creator	Castañón, Carla; Departamento de Medicina FamiliarEscuela de MedicinaPontificia Universidad Católica de Chile
dc.date	2012-10-23
dc.date.accessioned	2019-11-11T18:28:16Z
dc.date.available	2019-11-11T18:28:16Z
dc.identifier	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/1940
dc.identifier.uri	https://revistaschilenas.uchile.cl/handle/2250/111505
dc.description	CLINICAL PRACTICE GUIDELINES IN THE CHILEAN HEALTH SECTOR REFORM: A CRITICAL ASSESSMENT OF THEIR QUALITY. Background: Clinical practice guidelines are widely used as tools for improving quality of health care. However, there is increasing concern about limitations in their development process conducting to inconsistent recommendations. During the last decade the use of guidelines has been promoted in the Chilean health system, but their quality has not yet been evaluated systematically. Aim: To assess the quality of clinical practice guidelines developed by the Chilean guidelines program. Material and methods: All the guidelines developed by the Chilean program between 2005 and 2009 were retrieved from the Ministry of Health website. Each guideline was assessed independently by three appraisers using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument. Standardized scores were obtained for each dimension in each guideline and across the whole set of guidelines. Results: Sixty guidelines were assessed. The ‘scope and purpose’ dimension scored significantly higher (mean 82.2%, range: 25.9% - 100%) and the ‘applicability’ dimension scored significantly lower (mean 23.3%, range: 0% - 72.4%) than any other dimension. ‘Publication date’ was the only variable consistently associated with dimension scores. Conclusions: The quality of Chilean clinical practice guidelines is far from ideal. Although they seem to have a strong sense of purpose and vision, methodological procedures should be strengthened, especially those related to applicability.	es-ES
dc.language	en
dc.publisher	Revista Médica de Chile	es-ES
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/4970
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/4971
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/4972
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/4973
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/4974
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/6486
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/6487
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/6488
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/6489
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1940/6490
dc.source	Revista Médica de Chile; Vol. 140, núm. 11 (2012): NOVIEMBRE 2012	es-ES
dc.source	0034-9887
dc.subject	Evaluation studies; Health care reform; Health policy; Health services research; Practice guidelines, as topic	es-ES
dc.title	Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad	es-ES
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/publishedVersion
dc.type		es-ES

This item appears in the following Collection(s)

Revista Médica de Chile

Show simple item record

Guías de Práctica Clínica en el Régimen de Garantías en Salud: una evaluación crítica de su calidad

This item appears in the following Collection(s)

Related items

General conditions of medicine students, class 2010, during their pre-degree rotatory internship of Medical School, National Polytechnic Institute ﻿

Analysis of academic knowledge about the code of ethics for medicine students developed by the Federal Medicine Council of Brazil ﻿

Medicina. Elojio del doctor don Zenon Gaete; ojeada sobre las medicina contemporánea. Discurso leido por don Francisco R. Martinez, en el acto de su incorporacion a la Facultad de medicina, en la sesion del 15 de junio de 1871. ﻿

General conditions of medicine students, class 2010, during their pre-degree rotatory internship of Medical School, National Polytechnic Institute

Analysis of academic knowledge about the code of ethics for medicine students developed by the Federal Medicine Council of Brazil

Medicina. Elojio del doctor don Zenon Gaete; ojeada sobre las medicina contemporánea. Discurso leido por don Francisco R. Martinez, en el acto de su incorporacion a la Facultad de medicina, en la sesion del 15 de junio de 1871.