Development of clinical practice guidelines for patients with comorbidity and multiple diseases

被引:16
作者
Bernabeu-Wittel, M. [1 ]
Alonso-Coello, P. [2 ]
Rico-Blazquez, M. [3 ,4 ]
Rotaeche del Campo, R. [5 ]
Sanchez Gomez, S. [6 ]
Casariego Vales, E. [7 ]
机构
[1] Hosp Univ Virgen del Rocio, SEMI, Unidad Gest Clin Med Interna, Seville, Spain
[2] Ctr Cochrane Iberoamer, Inst Invest Biomed IIB St Pau, Grp MBE SemFYC, Barcelona, Spain
[3] Red Invest Serv Sanitarios Enfermedades Cron REDI, Serv Madrileno Salud, Unidad Apoyo Invest, Madrid, Spain
[4] Univ Alcala de Henares, Fac Enfermeria, FAECAP, E-28801 Alcala De Henares, Spain
[5] Ctr Salud Alza, Grp MBE SemFYC, San Sebastian, Spain
[6] Escuela Univ Enfermeria Vitoria Gasteiz, Grp Cron, FAECAP, Vitoria, Spain
[7] Hosp Lucus Augusti, SEMI, Serv Med Interna, Lugo, Spain
来源
ATENCION PRIMARIA | 2014年 / 46卷 / 07期
关键词
Clinical practice guidelines; Comorbidity; Polypathology; Multimorbidity; HEALTH-CARE; QUALITY; PEOPLE; OLDER; MANAGEMENT; RELEVANCE;
D O I
10.1016/j.aprim.2013.11.013
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The management of patients with comorbidity and polypathology represents a challenge for all healthcare systems. Clinical practice guidelines (CPGs) have limitations when applied to this population. The aim of this study is to propose the terminology and methodology for optimally approach comorbidity and polypathology in the CPGs. Based on a literature review, we suggest a number of proposals for the approach in different phases of CPG preparation, with special attention to the inclusion of clusters of comorbidity in the initial questions the implementation of indirect evidence, the burden of disease management for patients and their environment, when establishing recommendations, as well as the strategies of dissemination and implementation. These proposals should be developed in greater depth with the implication of more agents in order to have valid and useful tools for this population. (C) 2013 Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:385 / 392
页数:8
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