<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342017000200165</article-id>
<article-id pub-id-type="doi">10.21149/8285</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality and compliance with Clinical Practice Guidelines of Chronic Noncommunicable Diseases in primary care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Poblano-Verástegui]]></surname>
<given-names><![CDATA[Ofelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vieyra-Romero]]></surname>
<given-names><![CDATA[Waldo I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galván-García]]></surname>
<given-names><![CDATA[Ángel F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Elorriaga]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Martínez]]></surname>
<given-names><![CDATA[Antonia I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saturno-Hernández]]></surname>
<given-names><![CDATA[Pedro J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Evaluación y Encuestas ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Médico Nacional 20 de Noviembre Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>2</numero>
<fpage>165</fpage>
<lpage>175</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342017000200165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342017000200165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342017000200165&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Evaluar la calidad y cumplimiento de guías de práctica clínica (GPC) aplicables a las enfermedades crónicas no transmisibles (ECNT) en Centros de Salud (CS), y opinión del personal sobre las barreras, facilitadores y su utilización.  Material y métodos:  De 18 GPC valoradas con Appraisal of Guidelines Research and Evaluation II (AGREEII), se seleccionan tres para elaborar indicadores y evaluar cumplimiento usando Lot Quality Assurance Sampling (LQAS) (estándar 75/95%, umbral 40/75%, respectivamente, &#945;:0.05, &#946;:0.10) en cinco CS. 70 profesionales fueron encuestados sobre conocimiento y utilización de GPC.  Resultados:  La calidad formal promedio de las GPC fue 57.2%; baja calificación en dominios: &#8220;Aplicabilidad&#8221; (&lt;25%), &#8220;Participación de los implicados&#8221; (43.5%) y &#8220;Rigor en la elaboración&#8221; (55.0%). Su cumplimiento en CS oscila entre 39 y 53.4%. Los profesionales muestran conocimiento desigual de GPC; de 44 a 45% (según GPC) declaran que no se utilizan e identifican como principales barreras la ausencia de capacitación y su difícil accesibilidad y manejo.  Conclusiones:  La calidad e implantación de GPC evaluadas es deficiente, lo que constituye una oportunidad de mejora en los servicios de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  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, &#945;:0. 05, &#946;:0. 10) on 5 CS. 70 professionals surveyed about knowledge and use of CPG.  Results:  Average quality of the CPG was 57.2%; low rating in domains: &#8220;Applicability&#8221; (&lt;25%), &#8220;Stakeholder involvement&#8221; (43.5%) and &#8220;Rigour of development&#8221; (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.  Conclusions:  The quality and implementation of evaluated CPG is deficient constituting an opportunity of improvement in health services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[guías de práctica clínica]]></kwd>
<kwd lng="es"><![CDATA[calidad de la atención]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="en"><![CDATA[practice guideline]]></kwd>
<kwd lng="en"><![CDATA[quality of health care]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
</kwd-group>
</article-meta>
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