Poblano-Verástegui O, Vieyra-Romero WI, Galván-García ÁF, Fernández-Elorriaga M, Rodríguez-Martínez AI, Saturno-Hernández PJ. [Quality and compliance with Clinical Practice Guidelines of Chronic Noncommunicable Diseases in primary care].
SALUD PUBLICA DE MEXICO 2018;
59:165-175. [PMID:
28562717 DOI:
10.21149/8285]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 12/14/2016] [Indexed: 01/22/2023] Open
Abstract
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, β: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.
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