SciELO - Scientific Electronic Library Online

vol.59 issue2Effective coverage of treatment of hypertension in Mexican adults by statesEconomic and health impact of prenatal care in pregnant women with public health insurance in Colombia during 2014 author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Salud Pública de México

Print version ISSN 0036-3634


POBLANO-VERASTEGUI, Ofelia et al. Quality and compliance with Clinical Practice Guidelines of Chronic Noncommunicable Diseases in primary care. Salud pública Méx [online]. 2017, vol.59, n.2, pp.165-175. ISSN 0036-3634.


To assess the quality and compliance of clinical practice guidelines (CPG) applicable to chronic non-communicable diseases (CNCD) in primary healthcare (CS), and views of staff on the barriers, facilitators and their use.

Materials and methods:

18 valued CPG with AGREEII, 3 are selected to develop indicators and assess compliance using lot quality acceptance sample (LQAS, standard 75 / 95% threshold 40 / 75% respectively, α:0. 05, β:0. 10) on 5 CS. 70 professionals surveyed about knowledge and use of CPG.


Average quality of the CPG was 57.2%; low rating in domains: “Applicability” (<25%), “Stakeholder involvement” (43.5%) and “Rigour of development” (55.0%). Compliance in CS ranges from 39 to 53.4%. Professionals show uneven knowledge of CPG; 44 to 45% (according to CPG), they declare that they are not used, they identify as main barriers the lack of training, and their difficult accessibility and management.


The quality and implementation of evaluated CPG is deficient constituting an opportunity of improvement in health services.

Keywords : practice guideline; quality of health care; primary health care.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )