Clinical Practice Guidelines in Colombia
In this issue we continue with the publication of the Clinical Practice Guidelines (CPG) for the Colombian General Social Security System in Health. The version published in this Journal follows the medical journal format in accordance with the applicable international standards (1). Both the full as well as the abridged versions were published recently by the Ministry of Health and Social Protection (2).
Clinical Practice Guidelines (CPG) are defined as a set of recommendations developed systematically to help professionals and patients in their decisionmaking regarding a more appropriate healthcare system, and in selecting the more adequate diagnostic and therapeutic options, when it comes to approach a health problem or a specific clinical condition (3).
CPGs were first introduced between the 1950s and the 1970s and gained significant momentum starting in the 1980s, culminating with the mandate from the Agency for Health Care Research and Quality (AHRQ) requiring the development of clinical guidelines in the USA (4). They have become a proposal for health systems in terms of quality improvement, reduction of variations in medical care, and improved organized and efficient management of resources (5, 6). They also come from the medical community, in an attempt to preserve autonomy in an increasingly restrictive environment created by the pressure imposed by the paying and regulatory agencies (7). Over the past few years, many countries have gained considerable experience in the development, assessment and implementation of clinical practice guidelines in professional, institutional, regional and national realms, recognizing that guidelines are a key for improving the quality and relevance of health services (8-10). The consensus required to prepare the guidelines was made possible by the advent of new techniques such as the Delphi methodology (11) the wider use of controlled clinical trials, which gradually became the gold standard for assessing the therapies (12) and methodologies that serve as foundations for evidence-based medicine, such as the definition of answerable questions, systematic searches, and critical approach to the quality of medical literature (13).
International Committee of Medical Journal Editors. Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals. 2013. [Visited 2013 Sep 24]. Available at: http://www.icmje.org/index.html
Ministerio de Salud y Protección Social República de Colombia. Guías de Práctica Clínica. [Visited 2013 Sep 24]. Available at: http://gpc.minsalud.gov.co/Pages/Default.aspx
Field MJ, Lohr KN, editors. Clinical Practice Guidelines: Directions for a New Program, Institute of Medicine, Washington, DC: National Academy Press; 1990.
Weisz G, Cambrosio A, Keating P, Knaapen L, Schlich T, Tournay VJ. The emergence of clinical practice guidelines. Milbank Q. 2007;85:691-72.
Open Clinical. Clinical Practice Guidelines. [Visited 2013 Sep 24]. Available at: http://www.openclinical.org/guidelines.html
Fowkes FG, Roberts CJ. Introducing Guidelines into Clinical Practice. Eff Health Care. 1984;1:313-23.
Timmermans S, Kolker ES. Evidence-Based Medicine and the Reconfiguration of Medical Knowledge. Journal of Health and Social Behavior. 2004;45:177-93.
Guía Salud. Guías de Práctica Clínica. [Visited 2013 Sep 24]. Available at: http://www.guiasalud.es/web/guest/guias-practica-clinica
National Institute for Clinical Excellence. NICE Guidance. [Visited 2013 Sep 24]. Available at: http://www.nice.org.uk/guidance/
National Health and Medical Research Council. Clinical Practice Guidelines Portal. [Visited 2013 Sep 24]. Available at: http://www.clinicalguidelines.gov.au/
Linstone HA, Turoff M. The Delphi Method: Techniques and Applications, Reading, Mass: Addison-Wesley; 1975.
Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical epidemiology: a Basic Science for Clinical Medicine. 2nd ed. Boston: Little Brown; 1991.
Davidoff F, Haynes B, Sackett D, Smith R. Evidence based medicine. BMJ. 1995;310:1085-6.
Instituto de Seguros Sociales Colombia. Guías de Práctica Clínica. Bogotá: ISS. [Visited 2103 Sep 24]. Available at: http://www.iss.gov.co/portal/index.jsp?cargaHome=50&id_categoria=103&id_subcategoria=113&id_seccion=831
Ministerio de Salud Colombia. Acuerdo 117. [Visited 2013 Sep 24]. Available at: http://www.minsalud.gov.co/Normatividad/ACUERDO%20117%20DE%201998.pdf
Ministerio de Salud República de Colombia. Resolución Número 412 de 2000.
Ministerio de la Protección Social. Programa de Apoyo a la Reforma de Salud. Guías de promoción de la salud y prevención de enfermedades en la salud pública. Bogotá, Colombia; 2007.
Instituto Nacional de Cancerología. Recomendaciones y Guías. [Visited 2013 Sep 24]. Available at: http://www.cancer.gov.co/contenido/contenido.aspx?catID=1&conID=766
Derechos de autor 2015 Revista Colombiana de Obstetricia y Ginecología
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