Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic
Objective. Estimate the acceptability and adoption by health care workers of clinical practice guidelines and treatment protocols for women with preeclampsia/eclampsia and identify the facilitating factors and barriers to their implementation. Methods. A qualitative study was conducted, using semi-s...
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ftdoajarticles:oai:doaj.org/article:b4802a7886ce44e097ed03830e179363 2023-05-15T15:10:29+02:00 Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic Andelys De la Rosa José Mordan Indiana Barinas Mayra Toribio Diana Mancebo Alexandra Rodríguez Mar Pacheco-Herrero 2021-02-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.8 https://doaj.org/article/b4802a7886ce44e097ed03830e179363 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53272 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.8 https://doaj.org/article/b4802a7886ce44e097ed03830e179363 Revista Panamericana de Salud Pública, Vol 45, Iss 8, Pp 1-6 (2021) practice guideline protocols patient acceptance of health care health policy dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.8 2022-12-31T15:27:03Z Objective. Estimate the acceptability and adoption by health care workers of clinical practice guidelines and treatment protocols for women with preeclampsia/eclampsia and identify the facilitating factors and barriers to their implementation. Methods. A qualitative study was conducted, using semi-structured interviews and focus groups in five maternity hospitals. Interviews were compiled for analysis, and barriers and facilitators were characterized. Results. Seventy health professionals (52 female and 18 male) participated, representing different levels of the health system. The majority of workers and managers were aware of the existence and content of clinical practice guidelines (CPGs) for preeclampsia/eclampsia, especially the participants with more time in the health service. With respect to facilitating factors, both medical and nursing staff were positive about continued development and implementation of high-quality CPGs. There was consensus that limitations exist, especially with respect to a lack of the necessary medicines, supplies, and equipment to meet and implement the established recommendations. Discussion. The results of the study show the need to strengthen strategies that help close the gap between research and public policy. Studies suggest that research should focus on users, policymakers, and decisionmakers in the health system. The actors in the Dominican health system recognize the GRADE methodology as an appropriate instrument for the development and implementation of CPGs. Implementation barriers require systemic and comprehensive approaches. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
institution |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
practice guideline protocols patient acceptance of health care health policy dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
practice guideline protocols patient acceptance of health care health policy dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Andelys De la Rosa José Mordan Indiana Barinas Mayra Toribio Diana Mancebo Alexandra Rodríguez Mar Pacheco-Herrero Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic |
topic_facet |
practice guideline protocols patient acceptance of health care health policy dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. Estimate the acceptability and adoption by health care workers of clinical practice guidelines and treatment protocols for women with preeclampsia/eclampsia and identify the facilitating factors and barriers to their implementation. Methods. A qualitative study was conducted, using semi-structured interviews and focus groups in five maternity hospitals. Interviews were compiled for analysis, and barriers and facilitators were characterized. Results. Seventy health professionals (52 female and 18 male) participated, representing different levels of the health system. The majority of workers and managers were aware of the existence and content of clinical practice guidelines (CPGs) for preeclampsia/eclampsia, especially the participants with more time in the health service. With respect to facilitating factors, both medical and nursing staff were positive about continued development and implementation of high-quality CPGs. There was consensus that limitations exist, especially with respect to a lack of the necessary medicines, supplies, and equipment to meet and implement the established recommendations. Discussion. The results of the study show the need to strengthen strategies that help close the gap between research and public policy. Studies suggest that research should focus on users, policymakers, and decisionmakers in the health system. The actors in the Dominican health system recognize the GRADE methodology as an appropriate instrument for the development and implementation of CPGs. Implementation barriers require systemic and comprehensive approaches. |
format |
Article in Journal/Newspaper |
author |
Andelys De la Rosa José Mordan Indiana Barinas Mayra Toribio Diana Mancebo Alexandra Rodríguez Mar Pacheco-Herrero |
author_facet |
Andelys De la Rosa José Mordan Indiana Barinas Mayra Toribio Diana Mancebo Alexandra Rodríguez Mar Pacheco-Herrero |
author_sort |
Andelys De la Rosa |
title |
Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic |
title_short |
Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic |
title_full |
Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic |
title_fullStr |
Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic |
title_full_unstemmed |
Acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the Dominican Republic |
title_sort |
acceptability and adoption of clinical practice guidelines and treatment protocols on preeclampsia/eclampsia in the dominican republic |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.8 https://doaj.org/article/b4802a7886ce44e097ed03830e179363 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 8, Pp 1-6 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/53272 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.8 https://doaj.org/article/b4802a7886ce44e097ed03830e179363 |
op_doi |
https://doi.org/10.26633/RPSP.2021.8 |
container_title |
Revista Panamericana de Salud Pública |
container_volume |
45 |
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1 |
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