Abstract

PARDO TURRIAGO, Rodrigo  and  MOLANO SOTO, Vivian Marcela. Clinical practice guidelines: a participation tool in the construction of public policy. Acta Neurol Colomb. [online]. 2014, vol.30, n.4, pp.307-313. ISSN 0120-8748.

Clinical practice guidelines (CPG) seek to provide evidence-based recommendations for clinicians and decision-makers aiming at the highest quality standards of care. CPG are developed by multidisciplinary teams and through social participation. To describe the methodological process and contextual analysis of the development of CPG. To analyze the social participation process in the formulation of health policy. This paper presents an analysis of a new strategy for the development of CPG in Colombia as a tool for the sub-system of quality in health. The starting point and the current advances of the CPG movement in Colombia are described. We discuss the theoretical and practical mechanisms of social participation and their influence in the formulation of CPG recommendations. We report the case-study of the development of Stroke Clinical Practice Guideline for Colombia. We used, as framework, a CPG Development Manual and an Implementation Manual, as well, as several technical reports of specific pathologies. The mechanisms of social participation are based on the dynamics of stakeholders' empowerment into the Colombian social context. Clinical practice guidelines are useful tools for solving specific issues with health care providers. From the point of view of the social construction of health policies, CPG implementation has still several barriers to overcome.

Keywords : Clinical Practice Guide Lines; Participation; Health Policy; Quality Health system; Stroke.

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