Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Evolution of Clinical Practice Guidelines: A Science Mapping Analysis
Klinik Uygulama Rehberlerinin Gelişimi: Bilim Haritalama Analizi
Selahattin AKYÜZa, Uğur UĞRAKb, Yusuf ÇELİKc
aAnkara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Neurology, Ankara, TURKEY
bGülhane Training and Research Hospital, Clinic of Cardiology, Hemodynamics Laboratory, Ankara, TURKEY
cHacettepe University Faculty of Economics and Administrative Sciences, Department Health Management, Ankara, TURKEY
Turkiye Klinikleri J Health Sci. 2021;6(2):350-66
doi: 10.5336/healthsci.2020-75743
Article Language: EN
Full Text
ABSTRACT
The aims of this study are to see the development of clinical practice guides (CPG) in the field of social sciences, to evaluate its development especially in terms of health management, to identify the prominent subjects in the future, and to discover the relationships among the important subjects of CPGs. Bibliometric mapping method has been used in this study. The studies analyzed by bibliometric mapping were downloaded from the Web of Science Core Collection database and analyzed by the SciMAT science mapping program. The analysis was conducted with the data arranged within the time frames of '1990-1999', '2000-2009' and '2010-2019'. 'Words' were used as the primary analysis parameter. The data gathered from published studies were assessed by strategic diagrams, overlap map, thematic evolution map as well as thematic network map. Performance analysis of the emerging themes was done with the information of h-index and the total citation number of the studies included in bibliometric mapping. This study showed that the most publications on CPG were released in 2017, the USA was the high-ranking country in these publications, the important motor themes were determined as 'clinical guidelines' in the first period, 'clinical practice guidelines' and 'quality' in the second period, and 'management' and 'implementation' in the third period. It can be concluded that, in parallel with the increase of the publications on CPGs, the number of new relevant keywords will continue to increase. It is also evaluated that the studies on applying CPGs into practice, determining the experiences and attitudes of healthcare professionals towards CPGs, diminishing the obstacles on the way of implementing CPGs, evaluating CPGs from the managerial point of view and the effects of CPGs on the healthcare services in terms of quality, efficiency and outcomes will continue to increase soon.

Keywords: Uygulama rehberleri; bibliyometri; rehberlere uyum; sağlık personelinin tutumu; sağlık hizmetleri kalitesi; yaşam kalitesi
ÖZET
Bu çalışmanın amacı, klinik uygulama rehberleri (KUR)nin sosyal bilimler alanındaki gelişimini görmek, özellikle sağlık yönetimi açısından bu gelişimi değerlendirmek, gelecekte öne çıkan konuları belirlemek ve KUR'ların önemli konuları arasındaki ilişkileri keşfetmektir. Araştırmada bibliyometrik haritalama yöntemi kullanılmıştır. Araştırmaya dâhil edilen makaleler Web of Science Core Collection veri tabanından indirilmiş ve SciMAT bilim haritalama programı aracılığıyla analiz edilmiştir. Analiz, veriler '1990-1999', '2000-2009' ve '2010-2019' periyotlarına ayrılarak gerçekleştirilmiş ve analiz birimi olarak 'kelimeler' kullanılmıştır. Araştırma bulguları stratejik diyagramlar, örtüşme haritası, tematik gelişim haritasının yanı sıra tematik ağ ilişkileri haritası ile değerlendirilmiştir. Ortaya çıkan temaların performans değerlendirmeleri h-index ve toplam atıf sayısı ile yapılmıştır. KUR hakkında en fazla yayının 2017 yılında yapıldığı, en fazla yayın yapan ülkenin ABD olduğu, en önemli motor temaların 1. dönemde 'clinical guidelines', ikinci dönemde 'clinical practice guidelines' ve 'quality', üçüncü dönemde ise 'management' ve 'implementation' temaları olduğu görülmüştür. KUR konusunda yapılan yayınların artışına paralel olarak kullanılan yeni anahtar kelimelerin sayısının da artmaya devam edeceği, KUR'ların uygulamaya aktarılmasına, sağlık çalışanlarının KUR'lara yönelik deneyim ve tutumlarının belirlenmesine, KUR'ların kullanılmasının önündeki engellerin azaltılmasına, KUR'ların yönetim perspektifinden değerlendirilmesine, KUR'ların sağlık hizmetleri kalitesine, etkinliğine, sonuçlarına ve etkilerine ilişkin çalışmaların yakın gelecekte de yapılmaya devam edeceği değerlendirilmektedir.

Anahtar Kelimeler: Practice guidelines; bibliometrics; guideline adherence; attitude of health personnel; quality of health care; quality of life
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