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Mosquera Mendez, Paola, et al.
(författare)
Experience of implementing the strategy of primary health care in the locality of Bosa
2011
Ingår i: Revista Gerencia y Políticas de Salud. - 1657-7027. ; 10:21, s. 124-152
Tidskriftsartikel (refereegranskat) abstract
In order to describe the way in which a strategy APS was implemented at Hospital Pablo VI Bosa (HPVI) and to describe predisposing factors and limitations of such an implementation, a qualitative analysis of documentary material, in-depth interviewing with institutional actors and officials and community workshops was performed. From the triangulation of structured information was drafted a narrative synthesis that describes the experience in the area. Among the main findings is an interesting bet management model that views the APS as a central strategy and complements other strategies proposed by the District for the implementation of its public policy emphasizes the strengthening of community dynamics that although, mainly limited to institutional issues, have been significant in terms of sustainability. Favoring and limiting factors identified are diverse, but all related to how to implement public policy and institutional dynamics.
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Mosquera Mendez, Paola, et al.
(författare)
The process of incorporating a user perspective to the development of clinical practice guidelines : literature reviewing
2011
Ingår i: Revista Gerencia y Políticas de Salud. - : Pontificia Universidad Javeriana. - 1657-7027. ; 10:21, s. 176-195
Tidskriftsartikel (refereegranskat) abstract
In order to identify methodologies for effective identification and incorporation of the user considerations and perspective to the development of clinical practice guidelines, a systematic review of the literature was conducted. A total of 729 articles were identified from the initial search of these, 18 met the criteria and were included in the review. The items were valued according to methodological quality and extracted relevant information from them. No methodological items were found that described or evaluated a specific methodology that incorporates considerations of the patients in the development of GPC. The techniques used for these processes were the formal ones such as Delphi, focus groups, stakeholder analysis, surveys, workshops and preference scales. The reported experiences agree on the need to link patients during the stages of prioritization and approval of the recommendations.