Quality assessment of primary care guidelines in Turkey
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Drunpp-Sarajevo
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Clinical Practice Guidelines (CPGs) are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. The Ministry of Health published 67 primary care guidelines in 2003. Considering the expected effect of CPGs on clinical practice, we could assume that the quality of such guidelines would have an effect on the quality of health care practice. However, there is only very limited knowledge available regarding evidence based practice in Turkey and no known study related to the published CPGs, their use or their quality. In this study, we assessed the quality of existing primary care CPGs, by using The Appraisal of Guidelines Research & Evaluation (AGREE) Instrument. Methods: 14 guidelines were selected based on the top ten conditions in The Burden of Disease Study of 2004. The AGREE Instrument was translated into Turkish. The quality of the guidelines was assessed by 4 appraisers. Results: The mean rating scores of the domains, based on the AGREE Instrument were; Scope and purpose: 87.9%, stakeholder involvement: 62.2%, rigour of development: 51.2%, clarity and presentation: 66.4%, applicability: 57.2% and editorial independency: 54.5%. 6 guidelines out of 14 were recommended by all the appraisers, whereas 8 were not recommended at least by one of the appraisers. Conclusions: This is the first study of appraising quality of published guidelines in Turkey. This study is valuable for indicating the quality of current published guidelines and adds to the limited amount of knowledge in Turkey about how to improve guidelines.
Açıklama
Anahtar Kelimeler
Quality Appraisal, Clinical Practice Guidelines, AGREE Instrument, Primary Care, Turkey, Evidence Based Medicine, Clinical-Practice Guidelines, Critical-Appraisal, Agree Instrument, Health, Recommendations, Management, Validity
Kaynak
Healthmed
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
5
Sayı
6
