Bibliographic Details
| Title: |
Barreras y facilitadores en la implementación de guías de práctica clínica en México: perspectiva del personal de salud. |
| Authors: |
Maya-Hernández, Cynthya1, Flores-Hernández, Sergio2, de Jesús Vértiz-Ramírez, José2 jesus.vertiz@insp.mx, Ruelas-González, María Guadalupe2, Poblano-Verástegui, Ofelia2, Jesús Saturno-Hernández, Pedro2 |
| Source: |
Salud Pública de México. Sep/Oct2021, Vol. 63 Issue 5, p662-671. 10p. |
| Subjects: |
PRIMARY care, MEDICAL personnel, MEDICAL quality control, SEMI-structured interviews, HOSPITAL care |
| Geographic Terms: |
MEXICO |
| Abstract (English): |
Objective. To identify barriers, facilitators and proposals for improvement in the implementation of CPG from the perspective of health professionals. Materials and methods. Qualitative study through 85 semi-structured interviews with those responsible for the implementation, dissemination and application activities, and of the operational personnel in primary care centers and hospitals in seven states of Mexico. The content was coded and analyzed with ATLAS.ti 7.0. Results. The main barriers found were the failure to update the CPGs and low alignment with other standards, and the impossibility of implementing them due to work overload and limited resources. Conclusions. The effort to implement CPG seems to have been erratic and insufficient, and the evaluation of its use non-existent. It is proposed to create integrated and contextualized strategies that prove to be more effective and efficient for the successful implementation of the CPG. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Objetivo. Identificar barreras, facilitadores y propuestas de mejora en la implementación de Guías de Práctica Clínica (GPC) desde la perspectiva de los profesionales de la salud. Material y métodos. Estudio cualitativo a través de 85 entrevistas semiestructuradas a responsables de implementación, difusión y aplicación, y del personal operativo en centros de atención primaria y hospitales en siete estados de México. El contenido fue codificado y analizado con ATLAS.ti 7.0. Resultados. Las principales barreras encontradas fueron la no actualización de las GPC y baja alineación con otras normas, e imposibilidad de implementarlas debido a la sobrecarga de trabajo y los recursos limitados. Conclusiones. El esfuerzo por implementar GPC parece haber sido errático e insuficiente, y la evaluación de su utilización inexistente. Se propone crear estrategias integradas y contextualizadas que resulten ser más efectivas y eficientes para la implementación exitosa de GPC. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
