Clinical practice guidelines in Brazil : developing a national programme
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , |
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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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. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
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2021-07-06T04:46:05Z |
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Health research policy and systems. London. Vol. 18 (2020), 69, 6 p. |
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