Implementation of the clinical practice guideline for individuals with amputations in Colombia: a qualitative study on perceived barriers and facilitators.
Daniel Felipe Patiño-LugoMaría Del Pilar Pastor DurangoLuz Helena Lugo-AgudeloAna María Posada BorreroVerónica Ciro CorreaJesús Alberto Plata ContrerasClaudia Yaneth Vera GiraldoDaniel Camilo Aguirre-AcevedoPublished in: BMC health services research (2020)
Our study advances knowledge on the perceived individual and health system barriers and facilitators for the implementation of the CPG for amputee patients in Colombia. Importantly, the governance, financial, and service delivery arrangements of the Colombian health system are determining factors in implementing CPGs. For example, the financial arrangements between the insurance companies and the health care provider institutions were identified as barriers for the implementation of recommendations related to the continuity and opportunity of care of patients with amputations. The design of implementation strategies that successfully address the individual behaviours and the contextual health systems arrangements may significantly impact the health care process for amputee patients in Colombia.
Keyphrases
- healthcare
- end stage renal disease
- primary care
- quality improvement
- chronic kidney disease
- ejection fraction
- newly diagnosed
- mental health
- affordable care act
- peritoneal dialysis
- prognostic factors
- physical activity
- gene expression
- patient reported outcomes
- young adults
- public health
- health information
- patient reported
- health insurance