OBJECTIVES:To describe the theoretical approach suggested to close the gap between recommendations and implementation of clinical practice guidelines (CPG's) in Colombia, called harmonization of CPG's with Public Policy. METHODS: Perspective paper. A theoretical approach is suggested to harmonize CPG's recommendations with public policy. RESULTS: Public policies often don=t get the desired results, because there is a gap between the decision and the reality. There is a conceptual and temporal separation between policy formulation and implementation of decisions, CPG's are tools to improve quality in the delivery of health services. However a process od harmonization between recommendations and implementation with public policy is requested. For this a process of three phases should be developed: 1) To do a review of existing regulations on health and on the specific issue of the CPG to harmonize the current policy with recommendations and identify barriers to the implementation process; 2) To adjust recommendations of CPG's to eliminate the barriers encountered with the standards; 3. To state a negotiation process with all actors involved in the implementation of the CPG's at different levels of care, to generate commitment with them, proposals for changes in policy and / or administrative, and if it is necessary, to remove barriers CONCLUSIONS: Harmonization of CPG's with public policy is a fundamental tool to improve their implementation. Three phases are proposed. Negotiation could be the most important one.
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