Implementación de la Guía de Práctica Clínica (GPC) para la detección temprana, diagnóstico y atención integral del episodio depresivo y trastorno depresivo recurrente en adultos en el Hospital Universitario Cari ESE Neurociencias de Barranquilla (Colombia)
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Fecha
2016
Autores
Navarro - Jiménez, Eduardo
Laborde - Cárdenas, Carmen
Gómez - Méndez, Pedro
Fontalvo Morales, Rosa
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Universidad del Norte
Resumen
Objetivo: Implementar una Guía de Práctica Clínica (GPC) para la detección temprana y
diagnóstico del episodio depresivo y trastorno depresivo recurrente en adultos en los servicios
de consulta prioritaria, consulta externa y hospitalización del Hospital Universitario Cari
ESE Neurociencias de la ciudad de Barranquilla.
Materiales y métodos: Se desarrolló el Plan de implementación de una GPC de manejo
de episodio depresivo y trastorno depresivo recurrente, de acuerdo con la metodología del
manual de implementación de guías de práctica clínica basadas en evidencia del Ministerio
de Salud. El instrumento de recolección de datos utilizado fue el cuestionario. Se indagó
acerca de la preparación académica, el tiempo laborado en el ESE Cari mental y la experiencia
profesional específica; así como del manejo que tienen en su vida profesional y preferencias
las GPC - depresión. Resultados: La GPC elegida por consenso fue la Guía de Práctica Clínica (GPC) para la
detección temprana y diagnóstico del episodio depresivo y trastorno depresivo recurrente en
adultos, atención integral de los adultos con diagnóstico de episodio depresivo o trastorno
depresivo recurrente.
Conclusiones: La demanda de servicios de salud siempre parece ser superior a la cantidad
de recursos disponibles para satisfacerla. La anterior afirmación es válida en todas las sociedades,
aun en los países clasificados como de altos ingresos. Es por ello que la adopción
de GPC en el contexto clínico-administrativo de la ESE Cari mental –incluyendo los demás
entes territoriales– es una decisión que redunda en la racionalización del recurso humano
y administrativo, el cual siempre será escaso.
Palabras clave: depresión unipolar, Guía de Práctica Clínica, implementación de
plan de salud, Sistema de Salud.
Objective: Implement a Clinical Practice Guideline (CPG) for early detection and diagnosis of depressive episode and recurrent depressive disorder in adults, services for priority consultation, outpatient and inpatient University Hospital Cari ESE Neurosciences city Barranquilla. Materials and methods: Implementation Plan GPC management depressive episode and recurrent depressive disorder, according to the methodology manual implementation of clinical practice guidelines based on evidence from the Ministry of Health was developed. The data collection instrument used was the questionnaire. He asked about academic preparation, the time worked in the mental Cari and specific professional experience; as well as management they have in their professional life and preferences CPG - depression. Results: The GPC was chosen by consensus Clinical Practice Guideline (CPG) for early detection and diagnosis of depressive episode and recurrent depressive disorder in adults, comprehensive care of adults diagnosed with depressive episode or recurrent depressive disorder. Conclusions: The demand for health services always seems to be greater than the amount of resources available to meet. The above statement is valid in all societies, even in countries classified as high income. It is therefore that the adoption of GPC in the clinical context- Administrative of Cari Mental Hospital –including other local authorities– is a decision that results in the rationalization of human and administrative resource, which will always be scarce.
Objective: Implement a Clinical Practice Guideline (CPG) for early detection and diagnosis of depressive episode and recurrent depressive disorder in adults, services for priority consultation, outpatient and inpatient University Hospital Cari ESE Neurosciences city Barranquilla. Materials and methods: Implementation Plan GPC management depressive episode and recurrent depressive disorder, according to the methodology manual implementation of clinical practice guidelines based on evidence from the Ministry of Health was developed. The data collection instrument used was the questionnaire. He asked about academic preparation, the time worked in the mental Cari and specific professional experience; as well as management they have in their professional life and preferences CPG - depression. Results: The GPC was chosen by consensus Clinical Practice Guideline (CPG) for early detection and diagnosis of depressive episode and recurrent depressive disorder in adults, comprehensive care of adults diagnosed with depressive episode or recurrent depressive disorder. Conclusions: The demand for health services always seems to be greater than the amount of resources available to meet. The above statement is valid in all societies, even in countries classified as high income. It is therefore that the adoption of GPC in the clinical context- Administrative of Cari Mental Hospital –including other local authorities– is a decision that results in the rationalization of human and administrative resource, which will always be scarce.
Descripción
Palabras clave
Depresión unipolar, Guía de Práctica Clínica, Implementación de plan de salud, Depressive disorder, Practice Guideline, Health plan implementation, Health Systems