Vigilancia del Progreso de la Implementación para el Diagnóstico y Tratamiento de la Demencia

6.11

Se hace necesario el fortalecimiento de los sistemas de información y la generación de indicadores propios de la implementación y adherencia de las GPC por parte de los profesionales de la salud y de los pacientes y usuarios. Así mismo la caracterización adecuada del contexto y de las posibles barreras de implementación (10).

Otro estudio plantea la necesidad de hacer seguimiento de la incorporación de una cultura de consumo crítico de la literatura (11), concluyeron que a pesar de que los principios de la medicina basada en la evidencia, dominan el desarrollo metodológico de las guía de práctica clínica y, en sí misma, la práctica clínica, no existe evidencia de la evaluación de dichos procesos, solo de programas que han demostrado de una u otra manera ser efectivos a pesar de no ser afines a la medicina basada en la evidencia.

Dichos programas le apuntan a ser fuertemente efectivos en los procesos de difusión e implementación, dejando de producto final la adopción de dichas recomendaciones. El proceso de vigilancia se basará en dichos ejercicios de manera periódica y necesariamente reinventados, si es necesario a partir del contexto social, político y cultural.

6.12 Análisis del contexto (identificación y análisis de barreras)

La segunda etapa incluye el proceso llevado a cabo por el consenso, la aplicación del instrumento GLIA para el análisis de la posibilidad de implementar las recomendaciones desarrolladas en la guía de práctica clínica, y la construcción de indicadores de seguimiento y evaluación de la implementación de las recomendaciones indicadoras.

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