Publications by authors named "Jesus Alberto Plata-Contreras"
Background: A significant number of Colombian farmers who are transtibial amputees are civilian victims of landmines. Current prostheses are inadequately adapted for agricultural work, resulting in functional challenges in this context.
Objectives: This study aims to analyze and categorize the functional problems of transtibial prostheses in the Colombian agricultural context, incorporating perspectives from prosthesis users, manufacturers, and designers.
Background And Aim: Knowledge translation processes are necessary for improving patients' and communities' health outcomes. The aim of this study was to systematically develop evidence-based recommendations for people over 16 years of age who are in risk for or have suffered a lower limb amputation for medical reasons (vascular, diabetes mellitus) or trauma (civilian or military trauma) in order to improve function, quality of life, decrease complications and morbidity.
Methods: Following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach we developed a Clinical Practice Guideline (CPG) for lower limb amputees with funding from the Ministry of Health in Colombia and participation of a multidisciplinary group.
Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview.
Health Res Policy Syst
June 2020
Introduction: Clinical practice guidelines (CPGs) are designed to improve the quality of care and reduce unjustified individual variation in clinical practice. Knowledge of the barriers and facilitators that influence the implementation of the CPG recommendations is the first step in creating strategies to improve health outcomes. The present systematic meta-review sought to explore the barriers and facilitators for the implementation of CPGs.
View Article and Find Full Text PDFImplementation of the clinical practice guideline for individuals with amputations in Colombia: a qualitative study on perceived barriers and facilitators.
BMC Health Serv Res
June 2020
Article Synopsis
- The Colombian Ministry of Health published a clinical practice guideline in 2015 for amputee patients, but there’s a need for effective implementation strategies that consider the users' contexts.
- This study involved semi-structured interviews with 38 users, including patients and health workers, to gather insights on the barriers and facilitators to implementing the guideline in Colombia's healthcare system.
- Key barriers identified include individual patient and professional characteristics, limited resources and timely care within the health system, and issues related to the utility and flexibility of the clinical guidelines themselves.