Experiencia del Sistema Nacional de Salud Mexicano en el desarrollo de guías de práctica clínica

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Background Clinical 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. Objective The objective of the study is to share the experience in the development and to update the guidelines by the National Health System of Mexico. Material and methods The 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. Results The Master catalogue of clinical practice guidelines contains 664 guidelines, distributed in 42% Internal Medicine, 22% Surgery, 24% Pediatrics and 12% Gynecology. 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. Discussion The result is the sum of a great effort of coordination and cooperation between the institutions of the National Health System, political wills and a commitment of 3,477 health professionals that participate in guidelines' development and update. Conclusion Master catalogue guidelines' integration, diffusion and implantation improve quality of attention and security of the users of the National Health System.




Sosa-García, J. O., Nieves-Hernández, P., Puentes-Rosas, E., Pineda-Pérez, D., Viniegra-Osorio, A., Torres-Arreola, L. D. P., … Ramírez-López, J. C. (2016). Experiencia del Sistema Nacional de Salud Mexicano en el desarrollo de guías de práctica clínica. Cirugia y Cirujanos, 84(2), 173–179. https://doi.org/10.1016/j.circir.2015.12.003

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