medigraphic.com

2010, Number 6

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2010; 48 (6)

The clinical guidelines of practice project at the Instituto Mexicano del Seguro Social

Torres-Arreola LP, Peralta-Pedrero ML, Viniegra-Osorio A, Valenzuela-Flores AA, Echevarría-Zuno S, Sandoval-Castellanos FJ

Language: Spanish
References: 20
Page: 661-672
PDF size: 60.24 Kb.


ABSTRACT

The advance in the knowledge and technology is growing quickly and greater quantity, so it is difficult for the health professional to access to whole information that is generated every day on diagnostic and therapeutic strategies more effective, so the clinic practice guidelines (CPG) is a resource to support the updating of the health professional and support them in making clinical decisions. The CPG is also a better support to the manager of health services in making decisions regarding the strategies that have performed for the patient and less risk to the individual and collective health. They also support the response capacity of the medical units and hospitals and guide the planning of services to the optimization of the resources. This paper summarizes the methodology of a national project for the development of GPC coordinated by the Mexican Social Security Institute with the collaboration of more than 1200 health professionals of the institution in a great effort institutional update and make information accessible to the entire health sector, which also defines the steps to upgrade and maintain the updating of knowledge and technology expressed in them.


REFERENCES

  1. National Institute for Clinical Excellence. Clinical guidelines development methods. (Monografía en internet.) London: NICE; 2004. Disponible en http://www.nice. org.uk/page.aspx?o=howtoimplement

  2. Coordinación de Planeación y Desarrollo. Fascículo de apoyo a la gestión. En: Guías de práctica clínica. (Monografía en internet.) México: Dirección de Prestaciones Médicas, División de Innovación en Sistemas de Salud; 2004. Disponible en http://www.imss.gob.mx/NR/rdonlyres/A822ED5F-67F9-4021- BD57-354253612352/0/GUIASDEPRACTICACLINICAFP.pdf

  3. Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess 2004;8(6). Disponible en http://www.hta.ac.uk/execsumm/summ806. htm

  4. Lohr KN, Eleazer K, Mauskopf J. Health policy issues and applications for evidence-based medicine and clinical practice guidelines. Health Policy 1998; 46(1):1-19.

  5. Turner T, Misso M, Harris C, Green S. Development of evidence-based clinical practice guidelines (CPGs): comparing approaches. Implement Sci 2008; 3:45. Disponible en http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584093/ pdf/1748-5908-3-45.pdf

  6. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282(15):1458-1465. Disponible en http://jama.amaassn.org/ cgi/reprint/282/15/1458

  7. Sackett DL, Strauss SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine: how to practice and teach EBM. Second edition. New York: Churchill Livingstone; 2000.

  8. National Institute for Health and Clinical Excellence. The guideline development process: an overview for stakeholders, the public and the NHS. Disponible en http://www.nice.org.uk/page. aspx?o=423143

  9. Hanlon JJ. Principios de administración sanitaria. México: Interamericana; 1964.

  10. National Institute for Health and Clinical Excellence. Clinical guideline development methods. London: NICE; 2007. Disponible en www.nice. org.uk/page.aspx?o=guidelines-manual

  11. Scottish Intercollegiate Guidelines Network. (Sitio web.) SIGN 50: a guideline developer´s handbook. Disponible en http://www.sign.ac.uk/guidelines/ fulltext/50/index.html

  12. New Zealand Guidelines Group. Notes on the adaptation/ synthesis of guidelines 2007. Disponible en http://www.nzgg.org.nz/index.cfm?fuseacti000000 000000000n=evidence&fusesubaction=article& docujentID=10& articleID =54

  13. Gutiérrez-Ibarluzea I, González-Guitián C. ¿Cómo localizar GPC? Guías de práctica clínica. (Monografía en internet.) Disponible en http://www. fisterra.com/bd/upload/localizar.pdf

  14. AGREE Collaboration. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREEE Project. Qual Saf Health Care 2003;12 (1):18-23. Disponible en http://www.ncbi. nlm.nih.gov/ pmc/articles/PMC1743672/pdf/v012p00018.pdf

  15. Sackett DL, Rosenberg WM, Gary JA, Haynes RB, Richardson WS. Evidence based medicine: what is it and what it isn’t. BMJ 1996;312 (7023): 71-72. Disponible en http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC2349778/pdf/bmj00524-0009. pdf

  16. Evidence-Based Medicine Working Group. Evidence- based medicine. A new approach to teaching the practice of medicine. JAMA 1992;268(17): 2420-2425.

  17. Guerra-Romero L. La medicina basada en la evidencia: un intento de acercar la ciencia al arte de la práctica clínica. Med Clin 1996;107(10):377-382.

  18. Jovell AJ, Navarro-Rubio MD. Evaluación de la evidencia científica. Med Clin 1995;105:740-743.

  19. Harbour R, Miller J. A new system for grading recommendations in evidence based guidelines. BMJ 2001;323(7308):334-336. Disponible en http://bmj.com/cgi/content/full/323/7308/334

  20. Guyatt GH, Sackett DL, Sinclair JC, Hayward R, Cook DJ, Cook RJ. Users’ guides to the medical literature. IX. JAMA 1993:270(17);2096-2097.




2020     |     www.medigraphic.com