Palavras-chave
Guia de Prática Clínica
Protocolos Clínicos
Revisão
Prática Clínica Baseada em Evidências
América Latina e Caribe
Protocolos Clínicos
Revisão
Prática Clínica Baseada em Evidências
América Latina e Caribe
Como Citar
Reveiz, . L., Pinzón, C. E., Carrasco-Labra, A., Brignardello-Petersen, R., D. Florez, I., V. Pérez, Ángela, Sallas, J., & Becerra-Posada, F. (2016). Elaboração e adaptação de Protocolos Clínicos informados por evidência na América Latina e Caribe. Boletim Do Instituto De Saúde - BIS, 17(1), 65–86. https://doi.org/10.52753/bis.v17i1.35367
Resumo
Objetivo: Identificar e descrever os componentes, vantagens e desvantagens dos Protocolos Clínicos, assim como o processo de desenvolvimento e o efeito deste nos países da América Latina e do Caribe (ALC). Métodos: Realizou-se uma revisão narrativa da literatura, com análise bibliométrica descritiva dos processos de elaboração dos Protocolos Clínicos na ALC. Resultados: O processo de elaboração de Protocolos Clínicos é sistemático, válido e reprodutível. Grading of Recommendations Assessment, Development and. Evaluation (GRADE) é a estratégia metodológica que se definiu como padrão em nível mundial para o desenvolvimento de Protocolos Clínicos, a partir da avaliação da qualidade de evidência científica. Na ALC o processo de elaboração de Protocolos Clínicos fortaleceu-se durante a última década com implantação institucional por parte do setor público, com efetividade na padronização da prestação de serviços de saúde, estabelecimento da governança do processo e fonte de informação para outras funções do sistema de saúde.
Referências
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development, reporting and evaluation in healthcare. Can Med Assoc J. 2010 [acceso 6 mayo 2016];182(18):E839-42. Disponible en: http://www.ncbi.
nlm.nih.gov/pmc/articles/PMC3001530/pdf/182e839.pdf
4. Brozek JL, Akl EA, Compalati E, Kreis J, Terracciano L, Fiocchi A, et al., GRADE Working Group. Grading quality of evidence and strength of
recommendations in clinical practice guidelines part 3 of 3. The GRADE approach to developing recommendations. Allergy. 2011;66(5):588-95.
5. Bunker J. Medicine matters after all: measuring the benefits of medical care, a healthy lifestyle, and a just social environment. London: Stationery
Office; 2001. (Nuffield Trust Series, 15).
6. Committee on Standards for Developing Trustworthy Clinical Practice Guidelines - Institute of Medicine. Washington DC: National Academies; 2011.
7. Dalton JE1, Zidar DA, Udeh BL, Patel MR, Schold JD, Dawson NV. Practice variation among hospitals in revascularization therapy and its association
with procedure-related mortality. Med Care. 2016 Apr 5. [Epub ahead of print]
8. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ, GRADE Working Group. GRADE: an emerging consensus on
rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-6.
9. Jepson R, Harris F, MacGillivray S, Kearney N, Rowa-Dewar N. A review of the effectiveness of interventions, approaches and models at individual,
community and population level that are aimed at changing health outcomes through changing knowledge attitudes and behaviour. Stirling, UK:
National Instituto for Health and Clinical Excellence; 2006.
10. Ministério da Saúde. Política Nacional de Gestão de Tecnologias em Saúde. Brasília (DF); 2010. [acceso 6 mayo 2016]. Disponible en:
http://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_gestao_tecnologias_saude.pdf
11. Ministerio de Salud y de la Protección Social. Política Integral de Atención en Salud. Un sistema de salud al servicio de la gente. Colombia; 2016.
[acceso 6 mayo 2016]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/modelopais-2016.pdf
12. Ministerio de Salud y de la Protección Social. Resolución 2003 de 2014. Procedimientos y condiciones de inscripción de los Prestadores de Servicios
de Salud y de habilitación de servicios de salud. Colombia; 2014.
13. Ministerio de Salud, Subsecretaría de Redes Asistenciales, División de Atención Primaria. En el camino a centro de salud familiar. Chile; 2008
[acceso 6 mayo 2016]. Disponible en: http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2016/03/En-el-Camino-a-Centro-deSalud-
Familiar.pdf
14. Ministerio de Salud. Pauta para la elaboración, aplicación y evaluación de guías de práctica clínica Unidad de Evaluación de Tecnologías de Salud
ETESA. Santiago, Chile; 2002.
15. NICE. Behaviour change at population, community and individual levels. NICE public health guidance no. 6. London: National Institute for Health
and Clinical Excellence; 2007. (NICE public health guidance,. 6)[acceso 6 mayo 2016]. Disponible en: https://www.nice.org.uk/guidance/ph6
16. NICE. Methods for the development of NICE public health guidance, 2.ed. London: National Institute for Healthand Clinical Excellence; 2009.
17. NSW Health Department. A framework for building capacity to improve health. Gladsville, Australia: New South
Wales Health Department; 2001.
18. Organización Mundial de la Salud. Manual para la elaboración de directrices. 2.ed. Ginebra; 2015.
19. Ortiz, Z. ¿Qué son las revisiones sistemáticas? Buenos Aires: CIE. Academia Nacional de Medicina; 2005. [acceso 6 mayo 2016]. Disponible en:
http://www.epidemiologia.anm.edu.ar/pdf/publicaciones_cie/2005/Que_son_revisiones_sistematicas_2005.pdf
20. Pantoja T, Valenzuela L, Léniz J, Castañón C. Clinical practice guidelines in the Chilean health sector reform: a critical assessment of their quality.
Rev Med Chil.2012;140(11):1391-1400.
21. Ronsoni R M, Pereira CC, Stein AT, Osanai MH, Machado CJ. Evaluation of eight Clinical Protocols and Therapeutic Guidelines under the Brazilian
Ministry of Health using the AGREE II instrument: a pilot study. Cad Saude Publica.2015;31(6):1157-62.
22. Saavedra-Salinas MÁ, Barrera Cruz A, Cabral Castañeda AR, Jara Quezada LJ, Arce-Salinas CA, Álvarez Nemegyei J, et al. Clinical practice guidelines
for the management of pregnancy in women with autoimmune rheumatic diseases of the Mexican College of Rheumatology. Part I. Reumatol
Clin. 2015;11(5):295-304.
23. Schünemann HJ, Mustafa R, Brozek J, Santesso N, Alonso-Coello P, Guyatt G, et al., GRADE Working Group. Development of the GRADE Evidence to
Decision (EtD) frameworks for tests in clinical practice and public health. J Clin Epidemiol. 2016 pii: S0895-4356(16)00136-0
24. Secretaria de Salud. Manual metodologico para la integración de guías de práctica clínica de enfermeria en el Sistema Nacional de Salud. México;
2013.
25. Ubel, P.A. Pricing life: Why it´s time for health care rationing. Cambridge, Massachusetts: The MIT; 2000.
arterial. Medwave 2015;15(9):e6290.
2. Bero L, Rennie D. The Cochrane Collaboration: preparing, maintaining, and disseminating systematic reviews of the effects of health care. JAMA.
1995; 274 (24): 1935–38.
3. Brouwers M, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al. AGREE Next Steps Consortium. AGREE II: Advancing guideline
development, reporting and evaluation in healthcare. Can Med Assoc J. 2010 [acceso 6 mayo 2016];182(18):E839-42. Disponible en: http://www.ncbi.
nlm.nih.gov/pmc/articles/PMC3001530/pdf/182e839.pdf
4. Brozek JL, Akl EA, Compalati E, Kreis J, Terracciano L, Fiocchi A, et al., GRADE Working Group. Grading quality of evidence and strength of
recommendations in clinical practice guidelines part 3 of 3. The GRADE approach to developing recommendations. Allergy. 2011;66(5):588-95.
5. Bunker J. Medicine matters after all: measuring the benefits of medical care, a healthy lifestyle, and a just social environment. London: Stationery
Office; 2001. (Nuffield Trust Series, 15).
6. Committee on Standards for Developing Trustworthy Clinical Practice Guidelines - Institute of Medicine. Washington DC: National Academies; 2011.
7. Dalton JE1, Zidar DA, Udeh BL, Patel MR, Schold JD, Dawson NV. Practice variation among hospitals in revascularization therapy and its association
with procedure-related mortality. Med Care. 2016 Apr 5. [Epub ahead of print]
8. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ, GRADE Working Group. GRADE: an emerging consensus on
rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-6.
9. Jepson R, Harris F, MacGillivray S, Kearney N, Rowa-Dewar N. A review of the effectiveness of interventions, approaches and models at individual,
community and population level that are aimed at changing health outcomes through changing knowledge attitudes and behaviour. Stirling, UK:
National Instituto for Health and Clinical Excellence; 2006.
10. Ministério da Saúde. Política Nacional de Gestão de Tecnologias em Saúde. Brasília (DF); 2010. [acceso 6 mayo 2016]. Disponible en:
http://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_gestao_tecnologias_saude.pdf
11. Ministerio de Salud y de la Protección Social. Política Integral de Atención en Salud. Un sistema de salud al servicio de la gente. Colombia; 2016.
[acceso 6 mayo 2016]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/modelopais-2016.pdf
12. Ministerio de Salud y de la Protección Social. Resolución 2003 de 2014. Procedimientos y condiciones de inscripción de los Prestadores de Servicios
de Salud y de habilitación de servicios de salud. Colombia; 2014.
13. Ministerio de Salud, Subsecretaría de Redes Asistenciales, División de Atención Primaria. En el camino a centro de salud familiar. Chile; 2008
[acceso 6 mayo 2016]. Disponible en: http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2016/03/En-el-Camino-a-Centro-deSalud-
Familiar.pdf
14. Ministerio de Salud. Pauta para la elaboración, aplicación y evaluación de guías de práctica clínica Unidad de Evaluación de Tecnologías de Salud
ETESA. Santiago, Chile; 2002.
15. NICE. Behaviour change at population, community and individual levels. NICE public health guidance no. 6. London: National Institute for Health
and Clinical Excellence; 2007. (NICE public health guidance,. 6)[acceso 6 mayo 2016]. Disponible en: https://www.nice.org.uk/guidance/ph6
16. NICE. Methods for the development of NICE public health guidance, 2.ed. London: National Institute for Healthand Clinical Excellence; 2009.
17. NSW Health Department. A framework for building capacity to improve health. Gladsville, Australia: New South
Wales Health Department; 2001.
18. Organización Mundial de la Salud. Manual para la elaboración de directrices. 2.ed. Ginebra; 2015.
19. Ortiz, Z. ¿Qué son las revisiones sistemáticas? Buenos Aires: CIE. Academia Nacional de Medicina; 2005. [acceso 6 mayo 2016]. Disponible en:
http://www.epidemiologia.anm.edu.ar/pdf/publicaciones_cie/2005/Que_son_revisiones_sistematicas_2005.pdf
20. Pantoja T, Valenzuela L, Léniz J, Castañón C. Clinical practice guidelines in the Chilean health sector reform: a critical assessment of their quality.
Rev Med Chil.2012;140(11):1391-1400.
21. Ronsoni R M, Pereira CC, Stein AT, Osanai MH, Machado CJ. Evaluation of eight Clinical Protocols and Therapeutic Guidelines under the Brazilian
Ministry of Health using the AGREE II instrument: a pilot study. Cad Saude Publica.2015;31(6):1157-62.
22. Saavedra-Salinas MÁ, Barrera Cruz A, Cabral Castañeda AR, Jara Quezada LJ, Arce-Salinas CA, Álvarez Nemegyei J, et al. Clinical practice guidelines
for the management of pregnancy in women with autoimmune rheumatic diseases of the Mexican College of Rheumatology. Part I. Reumatol
Clin. 2015;11(5):295-304.
23. Schünemann HJ, Mustafa R, Brozek J, Santesso N, Alonso-Coello P, Guyatt G, et al., GRADE Working Group. Development of the GRADE Evidence to
Decision (EtD) frameworks for tests in clinical practice and public health. J Clin Epidemiol. 2016 pii: S0895-4356(16)00136-0
24. Secretaria de Salud. Manual metodologico para la integración de guías de práctica clínica de enfermeria en el Sistema Nacional de Salud. México;
2013.
25. Ubel, P.A. Pricing life: Why it´s time for health care rationing. Cambridge, Massachusetts: The MIT; 2000.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2016 Ludovic Reveiz, Carlos E. Pinzón, Alonso Carrasco-Labra, Romina Brignardello-Petersen, Iván D. Florez, Ángela V. Pérez, Janaina Sallas, Francisco Becerra-Posada
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