Barreras y facilitadores en la implementación de guías de práctica clínica en México: perspectiva del personal de salud.

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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]
Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Barreras y facilitadores en la implementación de guías de práctica clínica en México: perspectiva del personal de salud.
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  Data: <searchLink fieldCode="AR" term="%22Maya-Hernández%2C+Cynthya%22">Maya-Hernández, Cynthya</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Flores-Hernández%2C+Sergio%22">Flores-Hernández, Sergio</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Jesús+Vértiz-Ramírez%2C+José%22">de Jesús Vértiz-Ramírez, José</searchLink><relatesTo>2</relatesTo><i> jesus.vertiz@insp.mx</i><br /><searchLink fieldCode="AR" term="%22Ruelas-González%2C+María+Guadalupe%22">Ruelas-González, María Guadalupe</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Poblano-Verástegui%2C+Ofelia%22">Poblano-Verástegui, Ofelia</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Jesús+Saturno-Hernández%2C+Pedro%22">Jesús Saturno-Hernández, Pedro</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Salud+Pública+de+México%22">Salud Pública de México</searchLink>. Sep/Oct2021, Vol. 63 Issue 5, p662-671. 10p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22PRIMARY+care%22">PRIMARY care</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+quality+control%22">MEDICAL quality control</searchLink><br /><searchLink fieldCode="DE" term="%22SEMI-structured+interviews%22">SEMI-structured interviews</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+care%22">HOSPITAL care</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22MEXICO%22">MEXICO</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.21149/12439
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        Text: Spanish
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    Subjects:
      – SubjectFull: PRIMARY care
        Type: general
      – SubjectFull: MEDICAL personnel
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      – SubjectFull: MEDICAL quality control
        Type: general
      – SubjectFull: SEMI-structured interviews
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      – SubjectFull: HOSPITAL care
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      – SubjectFull: MEXICO
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      – TitleFull: Barreras y facilitadores en la implementación de guías de práctica clínica en México: perspectiva del personal de salud.
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              M: 09
              Text: Sep/Oct2021
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              Y: 2021
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