Guías de práctica clínica: evolución, metodología de elaboración y definiciones actuales

Carlos Alva Diaz; Jorge A. García-Mostajo; Fradis Gil-Olivares; Raúl Timana; Carlos Canelo-Aybar

doi:10.35663/amp.2017.344.465

Authors

Carlos Alva Diaz Hospital Nacional Daniel Alcides Carrión
Jorge A. García-Mostajo Hospital Guillermo Kaelin de la Fuente
Fradis Gil-Olivares Hospital de Emergencias Villa El Salvador.
Raúl Timana Seguro Social de Salud
Carlos Canelo-Aybar Instituto de Investigación Biomédica Sant Pau

DOI:

https://doi.org/10.35663/amp.2017.344.465

Abstract

Las guías de práctica clínica son una de las principales herramientas utilizadas por los sistemas de salud modernos y por los profesionales de la salud que practican una medicina basada en evidencias. Son instrumentos usados en beneficio del paciente y con un impacto positivo para los sistemas de salud. Su desarrollo ha ido evolucionando hasta convertirse en instrumentos confiables y de uso generalizado, siendo varios los conceptos que se han incorporado en la formulación de recomendaciones en salud: eficacia, seguridad, costo-efectividad, equidad y enfoque centralizado en la persona. Además, el desarrollo de metodologías propuestas para su elaboración y evaluación de calidad: AGREE, ADAPTE, GRADE entre otras. En el presente ensayo se hace una revisión de los aspectos relacionados a su evolución, metodología de elaboración y las definiciones actuales para su uso como herramientas en la práctica de la medicina basada en evidencias.

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Author Biographies

Carlos Alva Diaz, Hospital Nacional Daniel Alcides Carrión

Red de Eficacia Clínica y Sanitaria – REDECS. Lima, Perú. Servicio de Neurología, Departamento de Medicina, Hospital Nacional Daniel Alcides Carrión. Callao, Perú.
Jorge A. García-Mostajo, Hospital Guillermo Kaelin de la Fuente

Red de Eficacia Clínica y Sanitaria – REDECS. Lima, Perú. Hospital Guillermo Kaelin de la Fuente. Lima, Perú.
Fradis Gil-Olivares, Hospital de Emergencias Villa El Salvador.

Red de Eficacia Clínica y Sanitaria – REDECS. Lima, Perú. Unidad de Gestión de la Calidad, Hospital de Emergencias Villa El Salvador. Lima, Perú.
Raúl Timana, Seguro Social de Salud

Instituto de Evaluación de Tecnologías en Salud e Investigación, Seguro Social de Salud. Lima, Perú.
Carlos Canelo-Aybar, Instituto de Investigación Biomédica Sant Pau

Centro Cochrane Iberoamericano, Instituto de Investigación Biomédica Sant Pau. Barcelona, España.

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