Implementation of the clinical practice guideline for individuals with amputations in Colombia: a qualitative study on perceived barriers and facilitators

BMC Health Services Research
Daniel F Patiño-LugoDaniel Camilo Aguirre-Acevedo

Abstract

The issue of lower extremity amputation has been in the Colombian political agenda for its relationship with the armed conflict and antipersonnel mines. In 2015 the Colombian Ministry of Health published a national clinical practice guideline (CPG) for amputee patients. However, there is a need to design implementation strategies that target end-users and the context in which the CPG will be used. This study aims to identify users' perceptions about the barriers and facilitators for implementing the guideline for the care of amputee patients in a middle-income country such as Colombia. Semi-structured interviews were conducted with 38 users, including patients, health workers, and administrative staff of institutions of the health system in Colombia. Individuals were purposively selected to ensure different perspectives, allowing a balance of individual positions. According to participants' perceptions, barriers to implementation are classified as individual barriers (characteristics of the amputee patient and professionals), health system barriers (resource availability, timely care, information systems, service costs, and regulatory changes), and barriers related to clinical practice guidelines (utility, methodological rigour...Continue Reading

References

Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Feb 13, 2004·Health Technology Assessment : HTA·J M GrimshawC Donaldson
Feb 5, 2005·Quality & Safety in Health Care·S MichieUNKNOWN "Psychological Theory" Group
Mar 11, 2005·Archives of Physical Medicine and Rehabilitation·Timothy R DillinghamAndrew D Shore
Sep 16, 2008·BMC Medical Informatics and Decision Making·Anneke L FranckePatriek Mistiaen
Nov 10, 2009·Diabetes Research and Clinical Practice·J E ShawP Z Zimmet
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Richard BakerNoelle Robertson
Nov 3, 2010·BMC Health Services Research·Ingrid VargasJean-Pierre Unger
Jun 17, 2011·The Milbank Quarterly·Mary Dixon-WoodsPeter J Pronovost
Jul 4, 2012·Health Research Policy and Systems·Ulysses PanissetBen McCutchen
Jul 12, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sandra ZwolsmanNynke van Dijk
Dec 7, 2013·JAMA : the Journal of the American Medical Association·Peter J Pronovost

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Methods Mentioned

BETA
amputation
amputations

Software Mentioned

COM
NVivo

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