Clinical practice guidelines in the Chilean health sector reform: a critical assessment of their quality

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dc.contributor.authorPantoja, Tomas
dc.contributor.authorValenzuela, Lorena
dc.contributor.authorLeniz, Javiera
dc.contributor.authorCastanon, Carla
dc.date.accessioned2024-01-10T12:04:40Z
dc.date.available2024-01-10T12:04:40Z
dc.date.issued2012
dc.description.abstractBackground: Clinical practice guidelines are widely used as tools for improving quality of health care. However, there is increasing concern about limitations in their development process conducting to inconsistent recommendations. During the last decade the use of guidelines has been promoted in the Chilean health system, but their quality has not yet been evaluated systematically. Aim: To assess the quality of clinical practice guidelines developed by the Chilean guidelines program. Material and Methods: All the guidelines developed by the Chilean program between 2005 and 2009 were retrieved from the Ministry of Health website. Each guideline was assessed independently by three appraisers using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument. Standardized scores were obtained for each dimension in each guideline and across the whole set of guidelines. Results: Sixty guidelines were assessed. The 'scope and purpose' dimension scored significantly higher (mean 82.2%, range: 25.9%-100%) and the 'applicability' dimension scored significantly lower (mean 23.3%, range: 0%-72.4%) than any other dimension. 'Publication date' was the only variable consistently associated with dimension scores. Conclusions: The quality of Chilean clinical practice guidelines is far from ideal. Although they seem to have a strong sense of purpose and vision, methodological procedures should be strengthened, especially those related to applicability. (Rev Med Chile 2012; 140: 1391-1400).
dc.fechaingreso.objetodigital2024-05-29
dc.format.extent10 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872012001100003
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:23677184
dc.identifier.urihttps://doi.org/10.4067/S0034-98872012001100003
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75854
dc.identifier.wosidWOS:000312626000003
dc.information.autorucMedicina;Castanon C ;S/I;10317
dc.information.autorucMedicina;Leniz J;S/I;16027
dc.information.autorucMedicina;Pantoja T ;S/I;85916
dc.information.autorucMedicina;Valenzuela L ;S/I;146066
dc.issue.numero11
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final1400
dc.pagina.inicio1391
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso abierto
dc.subjectEvaluation studies
dc.subjectHealth care reform
dc.subjectHealth policy
dc.subjectHealth services research
dc.subjectPractice guidelines
dc.subjectas topic
dc.subjectIMPLEMENTATION STRATEGIES
dc.subjectCORRELATION-COEFFICIENT
dc.subjectAGREE II
dc.subjectAPPRAISAL
dc.subjectIMPROVEMENT
dc.subjectSTROKE
dc.subjectCARE
dc.subjectDISSEMINATION
dc.subjectRELIABILITY
dc.subjectPERFORMANCE
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleClinical practice guidelines in the Chilean health sector reform: a critical assessment of their quality
dc.typeartículo
dc.volumen140
sipa.codpersvinculados10317
sipa.codpersvinculados16027
sipa.codpersvinculados85916
sipa.codpersvinculados146066
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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