Implementation of clinical guidelines in Brazil: Should academic detailing be used?

Juliana de Oliveira Costa, Celline Cardoso Almeida-Brasil, Brian Godman*, Michael Adam Fischer, Jonathan Dartnell, Aine Heaney, Carolina Greco Bernardes dos Santos, Francisco de Assis Acurcio, Juliana Álvares, Augusto Afonso Guerra

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


Objective: The Brazilian National Health System provides high cost medicines through the Specialized Component of Pharmaceutical Assistance in accordance with the adherence to agreed Clinical Guidelines. However, physician compliance to these Guidelines, as well as the barriers and facilitators related to them and the influence on the subsequent quality of care provided is unknown. Consequently, the objectives of this article are to undertake a review of international experiences and scientific publications of a strategy to disseminate and communicate guidelines to physicians through Academic Detailing. Subsequently, use the findings to develop and conduct a pilot Academic Detailing Programme in Brazil targeting specialists who prescribe medicines for patients with Alzheimer's disease, which are part of the Specialized Component of Pharmaceutical Assistance. Methods: Review international experiences and scientific publications relating to academic detailing based on a thorough review of available literature including publications known to the coauthors. Develop and monitor physician acceptance of academic detailing for patients with Alzheimer's disease and the impact on future prescribing. Key findings: Based on the lessons learnt from the international experience and review, coupled with the initial experiences in Brazil, we conclude that conducting academic detailing to enhance the implementation and dissemination of clinical protocols and therapeutic guidelines in Brazil is worthwhile. We will be closely monitoring the outcome of the pilot academic detailing programme as a basis for developing future programmes to further improve the quality of prescribing in Brazil. Conclusions: Findings from the experiences are encouraging. This will be further explored to provide a basis for this approach in the future.

Original languageEnglish
Pages (from-to)105-115
Number of pages11
JournalJournal of Pharmaceutical Health Services Research
Issue number2
Publication statusPublished - 1 Jun 2016
Externally publishedYes


  • Academic detailing
  • Brazil
  • Guideline adherence
  • Health policy


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