Herramienta para mejorar la eficiencia en el manejo clínico de pacientes hipertensos

  1. Á. Hidalgo-Vega 1
  2. N. Martell 2
  3. D. Orozco-Beltrán 3
  4. A. Galgo 4
  5. O. Muñiz 5
  6. J.L. Górriz 6
  7. D. Ferrer-Vidal 7
  8. N. Sabaté 8
  9. M. Merino 9
  1. 1 Universidad de Castilla-La Mancha
    info

    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

  2. 2 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

  3. 3 Centro de Salud Cabo Huertas, San Juan de Alicante
  4. 4 Centro de Salud Espronceda, Madrid
  5. 5 Hospital Universitario Virgen del Rocío
    info

    Hospital Universitario Virgen del Rocío

    Sevilla, España

    ROR https://ror.org/04vfhnm78

  6. 6 Hospital Clínico Universitario Valencia
  7. 7 Instituto Catalán de Salud
  8. 8 Hospital Universitario Vall dˊHebron
  9. 9 Weber, Economía y Salud, Majadahonda
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Revista:
Hipertensión y riesgo vascular

ISSN: 1889-1837

Ano de publicación: 2019

Volume: 36

Número: 2

Páxinas: 70-84

Tipo: Artigo

DOI: 10.1016/J.HIPERT.2018.06.002 PMID: 30037730 SCOPUS: 2-s2.0-85057486865 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Hipertensión y riesgo vascular

Resumo

Objective To create a tool to evaluate the efficiency of the clinical management of hypertensive patients in Primary Care. Material and methods A web-based questionnaire was designed for Primary Care centres to self-evaluate the management of hypertension in five specific areas: information systems, diagnostic and analytical tests, organisational aspects, use of resources, and continuous training programmes for patients and healthcare professionals. A committee of experts previously defined these questions and their ideal responses or “control”, based on the scientific literature or, if there were no published references, by consensus of the committee. A descriptive analysis was performed on the data, and an adherence score was created that ranged from 0 (no adherence) to 1 (total adherence). Results A total of 35 Primary Care centres entered their data into the website for the clinical management of hypertensive patients. The highest adherence to the ideal algorithm was observed in the area “Diagnostic and analytical tests” (0.69 ± 0.10), and the lowest in “Continuous training programmes for patients and professionals” (0.42 ± 0.21). Conclusions The efficiency of clinical management in hypertensive patients can be analysed using the website tool created for this purpose. Its use allows an internal audit to detect the areas that need improvement, and also serves to make comparative evaluations in the different areas of management over time.

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Fonte de datos: Dialnet