Entrar/Registro  
HOME SPANISH
 
Revista Médica del Instituto Mexicano del Seguro Social
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2009, Issue 1


Constantino-Casas P, Viniegra-Osorio A, Medécigo-Micete C, Torres-Arreola LP, Valenzuela-Flores A
The Clinical Guidelines as a Potential Tool to Improving Health Care Quality
Rev Med Inst Mex Seguro Soc 2009; 47 (1)

Language: Español
References: 16
Page: 103-108
PDF: 112.92 Kb.


Full text




ABSTRACT

There is an increasing demand to ensure quality in the providing and receiving health care. Health care services face different challenges, such as: a growing aging population, increasing care costs, variations in clinical practice, and a fasting increase in the generation of information on diagnostic methods and therapies. In this context, a wave of development and use of clinical guidelines (CGL) based on scientific evidence has emerged worldwide, with the aim to creating tools to promote clinical excellence practice. Our country and the Instituto Mexicano del Seguro Social (IMSS), with its experience in developing CGL has joined this trend as a main project. It is beneficial for IMSS Health professionals and their patients. The aim of this paper is to present general information on definitions, structure, quality standards, development proceedings, updating, and potential advantages and disadvantages by using CGL. To achieve the expectations of a positive impact on quality and the health care budget distribution, health care personnel must be open to and receptive to the CGL recommendations and be flexible in changing their clinical practice.


Key words: practice guideline, health services administration.


REFERENCIAS

  1. Woolf S, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ 1999;318(7182):527-530.

  2. Genuis SJ. The proliferation of clinical practice guidelines: professional development or medicine by numbers? J Am Board Fam Pract 2005;18(5): 419-425.

  3. Lohr KN, Field MJ. A provisional instrument for assessing clinical practice guidelines. En: Field MJ, Lohr KN, editors. Guidelines for clinical practice. From development to use. Washington, DC: National Academy Press; 1992.

  4. Sackett DL, Strauss SE, Richardson WS, Rosenberg W, Haynes RB. Evidence based Medicine. How to practice and teach EBM. Second edition. London: Churchill Livingstone; 2000.

  5. McCormack JP, Loewen P. Adding “value” to clinical practice guidelines. Can Fam Physician 2007; 53(8):1326-1337.

  6. Ramsey SD. Economic analyses and clinical practice guidelines. Why not a match made in heaven? JGIM 2002;17(3):235-237.

  7. The AGREE Collaboration. AGREE instrument. Disponible en www.agreecollaboration.org

  8. Oviedo-Mota MA, Trejo-y Pérez JA, Reyes-Morales H, Flores-Hernández S, Pérez-Cuevas R. Fundamentos de las guías clínicas basadas en evidencia. En: Reyes-Morales H, Pérez-Cuevas R. Trejo-y Pérez JA, editores. Guías de práctica clínica para medicina familiar. México: IMSS/El Manual Moderno; 2004. p. 9-13.

  9. National Institute for Health and Clinical Excellence. Guideline development methods. Disponible en http://www.nice.org.uk/search/searchresults.jsp? keywords=Guideline+Develoment+Methods& searchType=all

  10. Fervers B, Burguers JS, Haugh MC, Latreille J, Milka-Cabanne N, Paquet L, et al. Adaptation of clinical guidelines: literature review and proposition for a framework and procedure. Int J Qual Health Care 2006;18(3):161-176.

  11. Shekelle PG, Ortiz E, Rhodes S, Morton SC, Eccles MP, Grimshaw JM, et al. Validity of the Agency for Healthcare Research and Quality Clinical Practice Guidelines. How quickly do guidelines become outdated? JAMA 2001;286 (12):1461-1467.

  12. Haycox A, Bagust A, Walley T. Clinical guidelinesthe hidden costs. BMJ 1999;318(7180):391-393.

  13. Alfonso F, Bermejo J, Segovia J. Guías europeas de práctica clínica en Revista Española de Cardiología. ¿Hacia una completa “globalización” de la asistencia cardiovascular? Rev Esp Cardiol 2004;57(10):1000-1002.

  14. Dobrow MJ, Goel V, Lemiux-charles L, Black NA. The impact of context on evidence utilization: a framework for expert groups developing health policy recommendations. Soc Sci Med 2006;63 (7):1811-1824.

  15. CENETEC. Propuesta de metodología para la integración de guías de práctica clínica. México: Subsecretaría de Innovación y Calidad de la Secretaría de Salud; 2007.

  16. División de Excelencia Clínica de la Coordinación de Unidades Médicas de Alta Especialidad. Proyecto estratégico para el desarrollo, implementación y evaluación de guías de práctica clínica. México: IMSS; 2007.






>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2009, Issue 1
 

· Journal Index 
· Links 






       
Copyright 2019