Open AccessExperience of the Sistema Nacional de Salud Mexicano in the development of clinical practice guidelines
Author(s) -
Jesús Ojino Sosa-García,
Pedro Nieves-Hernández,
Esteban Puentes-Rosas,
Dayana Pineda-Pérez,
Arturo ViniegraOsorio,
Laura del Pilar Torres-Arreola,
Adriana Abigail Valenzuela-Flores,
Sergio Baltazar Barragán-Padilla,
Ruth Díaz-González,
Lizbeth Chávez-Valdez,
Juan Carlos Ramírez-López
Publication year - 2016
Publication title -
cirugía y cirujanos
Language(s) - English
Resource type - Journals
ISSN - 2444-0507
DOI - 10.1016/j.circen.2016.02.001
Subject(s) - commission , clinical practice , politics , political science , medicine , library science , public administration , public relations , nursing , law , computer science
BackgroundClinical practice guidelines are tools that have been able to streamline decisions made in health issues and to decrease the gap between clinical action and scientific evidence.ObjectiveThe objective of the study is to share the experience in the development and to update the guidelines by the Sistema Nacional de Salud de Mexico.Material and methodsThe methodology in the development of the guidelines consists of 5 phases: prioritisation, establishment of work groups, development by adoption of international guidelines of de novo, validation and integration in the Master catalogue of clinical practice guidelines for its dissemination.ResultsThe Master catalogue of clinical practice guidelines contains 664 guidelines, distributed in 42% Internal Medicine, 22% Surgery, 24% Paediatrics and 12% Gynaecology. From the total of guidelines coverage is granted at an 85% of the Universal catalogue of health services, an 84% of the Catastrophic expenses protection fund and a 61% of the XXI Century Medical Insurance of the National Commission of Social Protection in Health.DiscussionThe result is the sum of a great effort of coordination and cooperation between the institutions of the Sistema Nacional de Salud, political wills and a commitment of 3477 health professionals that participate in guidelines’ development and update.ConclusionMaster catalogue guidelines’ integration, diffusion and implantation improve quality of attention and security of the users of the Sistema Nacional de Salud