The Emulation and Adaptation of a Global Model of Clinical Practice Guidelines on Chronic Heart Failure in BRICS Countries : A Comparative Study

GND
143852736
LSF
58261
Affiliation
School of Public Affairs, Zhejiang University, Hangzhou 310058, China, tao.liu@uni-due.de
Liu, Tao;
GND
121917081X
ORCID
0000-0002-3635-0200
LSF
59957
Affiliation
Institute for Sociology, University of Duisburg-Essen, 47057 Duisburg, Germany, benjamin.quasinowski@uni-due.de
Quasinowski, Benjamin;
GND
1219599174
Affiliation
Institute for Sociology, University of Duisburg-Essen, 47057 Duisburg, Germany, andre.araujo-soares@stud.uni-due.de
Soares, André

Whilst knowledge about diseases is universal, access to health care is not equally distributed. During the last decade, the countries of BRICS (Brazil, Russia, India, China, South Africa) have become important actors on the global health scene, pushing for universal, affordable, and more equal access to health care. Although non-communicable diseases place a significant burden on all populations and health systems, low- and middle-income countries (LMIC), such as BRICS, have been affected particularly hard. Approximately 80 percent of worldwide deaths from non-communicable diseases occur in LMIC. We examined if guidelines concerning chronic heart failure from BRICS countries are influenced by global scripts and if these guidelines have converged or diverged in an inter-state context. Our analysis shows that guidelines on heart failure published in BRICS predominantly rely on models initially formulated by European or American cardiological organisations. Guidelines from BRICS deviate from these models to some extent, in particular with regard to specific epidemiological conditions. Except for the Indian guideline, they do not, however, extensively engage with BRICS-specific aspects of costs, access to and affordability of health care services. We interpret these results through the lens of sociological theories on globalisation. Consistent with neoinstitutionalism, recommendations for clinical practice guidelines have spread in BRICS countries in a rather isomorphic fashion. Notwithstanding, some local medical traditions have also been included into these guidelines through localised adaptation and variation.

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Liu, T., Quasinowski, B., Soares, A., 2020. The Emulation and Adaptation of a Global Model of Clinical Practice Guidelines on Chronic Heart Failure in BRICS Countries: A Comparative Study. https://doi.org/10.3390/ijerph17051735
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