Valoración desde atención primaria del manejo del hipertenso en atención especializada (estudio DERIVA-DOS)
| Autor: | Martell-Claros, Nieves, Galgo Nafría, Alberto, Abad-Cardiel, María, Álvarez-Álvarez, Beatriz, García Donaire, José Antonio, Márquez-Contreras, Emilio, Molino-González, Ángel |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Consensus Time Factors Blood Pressure Physicians Primary Care Young Adult Hipertensión Humans Prospective Studies Referral and Consultation Derivación Antihypertensive Agents Aged Aged 80 and over Specializing in hypertension care Middle Aged Primary care Cross-Sectional Studies Spain Hypertension Polypharmacy Female Derivation Coordination between health-care levels Coordinación entre niveles Atención primaria [Niveles de atención de salud] Atención especializada en hipertensión Specialization |
| Popis: | To know the opinion/evaluation of the primary care physicians (PCPH) of the received information about patients that were attended in specialized care (SC). Cross-sectional study. Performed nationwide in primary care centers. Researchers from the primary care network. We used the SEH-LELHA derivation criteria guidelines, plus an ad hoc survey that included demographic and anthropometric data, blood pressure levels, and the main reason for derivation to SC at the baseline and final (post-derivation) visit. In addition, time deployed for the study of every patient, changes in diagnosis and treatment, type of follow-up, issues throughout the derivation process and assessment of the medical referred to the PCPH were evaluated. With participation of 578 researchers from primary, the study included 1715 patients aged 60.7±13.3years, 62.7% male. Patients were taking 2.3±1.2 (range 0-10) antihypertensive drugs pre-referral and 2.5±1.2 (0-9) after derivation. Blood pressure levels changed from 166±21.6 /97.7±12.6mmHg to 143±14.4 /85.5±10.5mmHg. The number of controlled patients (BP Communication between AE and SC in HTA is valued satisfactorily by MAP. However there is still room for improvement in the process. |
| Databáze: | OpenAIRE |
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