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

  • 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

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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Published
2018-01-31
How to Cite
1.
Alva Diaz C, García-Mostajo JA, Gil-Olivares F, Timana R, Canelo-Aybar C. Guías de práctica clínica: evolución, metodología de elaboración y definiciones actuales. Acta Med Peru [Internet]. 2018Jan.31 [cited 2021Jun.22];34(4):317-22. Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/465
Section
SPECIAL ARTICLES