Clinical practice guidelines in Brazil : developing a national programme

Detalhes bibliográficos
Autor(a) principal: Colpani, Verônica
Data de Publicação: 2020
Outros Autores: Kowalski, Sérgio Candido, Stein, Airton Tetelbom, Buehler, Anna Maria, Zanetti, Daniel, Côrtes, Gabriel, Melo Junior, Edison Vieira de, Ebeidalla, Jorgiany Emerick, Oliveira, Natiela Beatriz de, Guerra, Renata Leborato, Silva, Sarah Nascimento, Duncan, Bruce Bartholow, Falavigna, Maicon, Schünemann, Holger J.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRGS
Texto Completo: http://hdl.handle.net/10183/223231
Resumo: In Brazil, governmental and non-governmental organisations develop practice guidelines (PGs) in order to optimise patient care. Although important improvements have been made over the past years, many of these documents still lack transparency and methodological rigour. In order to conduct a critical analysis and define future steps in PG development in Brazil, we carried out a structured assessment of strengths, weaknesses, opportunities and threats (SWOT analysis) for the development of a national guideline programme. Participants consisted of academia, methodologists, medical societies and healthcare system representatives. In summary, the PG development process has improved in Brazil and current investments in methodological research and capacity-building are ongoing. Despite the centralised processes for public PGs, standardised procedures for their development are not well established and human resources are insufficient in number and capacity to develop the amount of trustworthy documents needed. Brazil’s capacity could be strengthened and initial efforts have been made such as the adoption of standards proposed by world-renowned institutions in PG development and enhancement of the involvement of key stakeholders. Further steps involve the alignment between health technology assessment and PG processes for synergy and the development of a national network to promote the interaction between groups involved in the development of PGs. The lessons learned from this paper could be used to foster debate on guideline development, especially for countries facing similar threats on this topic.
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spelling Colpani, VerônicaKowalski, Sérgio CandidoStein, Airton TetelbomBuehler, Anna MariaZanetti, DanielCôrtes, GabrielMelo Junior, Edison Vieira deEbeidalla, Jorgiany EmerickOliveira, Natiela Beatriz deGuerra, Renata LeboratoSilva, Sarah NascimentoDuncan, Bruce BartholowFalavigna, MaiconSchünemann, Holger J.2021-07-06T04:46:05Z20201478-4505http://hdl.handle.net/10183/223231001126917In Brazil, governmental and non-governmental organisations develop practice guidelines (PGs) in order to optimise patient care. Although important improvements have been made over the past years, many of these documents still lack transparency and methodological rigour. In order to conduct a critical analysis and define future steps in PG development in Brazil, we carried out a structured assessment of strengths, weaknesses, opportunities and threats (SWOT analysis) for the development of a national guideline programme. Participants consisted of academia, methodologists, medical societies and healthcare system representatives. In summary, the PG development process has improved in Brazil and current investments in methodological research and capacity-building are ongoing. Despite the centralised processes for public PGs, standardised procedures for their development are not well established and human resources are insufficient in number and capacity to develop the amount of trustworthy documents needed. Brazil’s capacity could be strengthened and initial efforts have been made such as the adoption of standards proposed by world-renowned institutions in PG development and enhancement of the involvement of key stakeholders. Further steps involve the alignment between health technology assessment and PG processes for synergy and the development of a national network to promote the interaction between groups involved in the development of PGs. The lessons learned from this paper could be used to foster debate on guideline development, especially for countries facing similar threats on this topic.application/pdfengHealth research policy and systems. London. Vol. 18 (2020), 69, 6 p.Protocolos clínicosMedicina baseada em evidênciasPrática clínica baseada em evidênciasGuias de prática clínica como assuntoBrasilGuideline developmentEvidence-based medicineBrazilClinical practiceClinical practice guidelines in Brazil : developing a national programmeEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001126917.pdf.txt001126917.pdf.txtExtracted Texttext/plain28617http://www.lume.ufrgs.br/bitstream/10183/223231/2/001126917.pdf.txt5254c4c094868962d180b86cbab2d63bMD52ORIGINAL001126917.pdfTexto completo (inglês)application/pdf1037467http://www.lume.ufrgs.br/bitstream/10183/223231/1/001126917.pdff99f66979c963baf33c9ccd5ceba5f80MD5110183/2232312021-08-04 04:43:45.709394oai:www.lume.ufrgs.br:10183/223231Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2021-08-04T07:43:45Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.pt_BR.fl_str_mv Clinical practice guidelines in Brazil : developing a national programme
title Clinical practice guidelines in Brazil : developing a national programme
spellingShingle Clinical practice guidelines in Brazil : developing a national programme
Colpani, Verônica
Protocolos clínicos
Medicina baseada em evidências
Prática clínica baseada em evidências
Guias de prática clínica como assunto
Brasil
Guideline development
Evidence-based medicine
Brazil
Clinical practice
title_short Clinical practice guidelines in Brazil : developing a national programme
title_full Clinical practice guidelines in Brazil : developing a national programme
title_fullStr Clinical practice guidelines in Brazil : developing a national programme
title_full_unstemmed Clinical practice guidelines in Brazil : developing a national programme
title_sort Clinical practice guidelines in Brazil : developing a national programme
author Colpani, Verônica
author_facet Colpani, Verônica
Kowalski, Sérgio Candido
Stein, Airton Tetelbom
Buehler, Anna Maria
Zanetti, Daniel
Côrtes, Gabriel
Melo Junior, Edison Vieira de
Ebeidalla, Jorgiany Emerick
Oliveira, Natiela Beatriz de
Guerra, Renata Leborato
Silva, Sarah Nascimento
Duncan, Bruce Bartholow
Falavigna, Maicon
Schünemann, Holger J.
author_role author
author2 Kowalski, Sérgio Candido
Stein, Airton Tetelbom
Buehler, Anna Maria
Zanetti, Daniel
Côrtes, Gabriel
Melo Junior, Edison Vieira de
Ebeidalla, Jorgiany Emerick
Oliveira, Natiela Beatriz de
Guerra, Renata Leborato
Silva, Sarah Nascimento
Duncan, Bruce Bartholow
Falavigna, Maicon
Schünemann, Holger J.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Colpani, Verônica
Kowalski, Sérgio Candido
Stein, Airton Tetelbom
Buehler, Anna Maria
Zanetti, Daniel
Côrtes, Gabriel
Melo Junior, Edison Vieira de
Ebeidalla, Jorgiany Emerick
Oliveira, Natiela Beatriz de
Guerra, Renata Leborato
Silva, Sarah Nascimento
Duncan, Bruce Bartholow
Falavigna, Maicon
Schünemann, Holger J.
dc.subject.por.fl_str_mv Protocolos clínicos
Medicina baseada em evidências
Prática clínica baseada em evidências
Guias de prática clínica como assunto
Brasil
topic Protocolos clínicos
Medicina baseada em evidências
Prática clínica baseada em evidências
Guias de prática clínica como assunto
Brasil
Guideline development
Evidence-based medicine
Brazil
Clinical practice
dc.subject.eng.fl_str_mv Guideline development
Evidence-based medicine
Brazil
Clinical practice
description In Brazil, governmental and non-governmental organisations develop practice guidelines (PGs) in order to optimise patient care. Although important improvements have been made over the past years, many of these documents still lack transparency and methodological rigour. In order to conduct a critical analysis and define future steps in PG development in Brazil, we carried out a structured assessment of strengths, weaknesses, opportunities and threats (SWOT analysis) for the development of a national guideline programme. Participants consisted of academia, methodologists, medical societies and healthcare system representatives. In summary, the PG development process has improved in Brazil and current investments in methodological research and capacity-building are ongoing. Despite the centralised processes for public PGs, standardised procedures for their development are not well established and human resources are insufficient in number and capacity to develop the amount of trustworthy documents needed. Brazil’s capacity could be strengthened and initial efforts have been made such as the adoption of standards proposed by world-renowned institutions in PG development and enhancement of the involvement of key stakeholders. Further steps involve the alignment between health technology assessment and PG processes for synergy and the development of a national network to promote the interaction between groups involved in the development of PGs. The lessons learned from this paper could be used to foster debate on guideline development, especially for countries facing similar threats on this topic.
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