medigraphic.com
Órgano de Difusión de la Asociación Académica Panamericana de Medicina Familiar A.C.

2023, Number 2

<< Back Next >>

Arch Med Fam 2023; 25 (2)

Application of a Tool to Improve the Quality of Medical Care in Patients with Hypertension

Estrada AMB, Galicia HN, García HAK, Cruz AG, Rivero LC

Language: Spanish
References: 15
Page: 89-95
PDF size: 287.35 Kb.


ABSTRACT

Objective: To use the “Unique Evaluation Card by Process” (UECP) in Hypertension cases, which aims to prevent the progression of the disease, its respective complications and/or death. Methods:Quasi- experimental study in comparative, cross-sectional, prospective groups. 12 family physicians were included in each group. Following an educational intervention, a video/audio of the consultation given by the family physician to a patient diagnosed with arterial hypertension was recorded, and compliance of UECP was assessed. Results: 12 out of 21 family physicians received the educational strategy. In terms of compliance with the UECP in the medical note, doctors with the educational strategy had an average of 76.7%, with a minimum of 42% and a maximum of 100%, compared with the doctors who did not receive the educational strategy, in which the average was 53.5%, with a minimum of 16% and a maximum of 82%. Conclusions: Despite limitations of the study, the results show that it is necessary to create a stimulus in the doctor, to increase the time to listen to the patient, along with the complete examination of the patient. More knowledge about CUEP is required in order to provide a better quality of medical care in an effective time


REFERENCES

  1. Delgado RM, Díaz LJ. Concepto de Salud: El continuo salud-enfermedad.Determinantes de la Salud. Manual de Epidemiología y SaludPública. Vol. 1 2ª ed. México: Panamericana; 2005. p. 1-4.

  2. Cabrera C, Rodríguez I, González G, Ocampo P, Amaya C. Aptitud clínicade los médicos familiares en la identificación de la disfunciónfamiliar, en unidades de medicina familiar de Guadalajara, México.Salud Mental. 2009;29(4):40-6. Juan LM. La calidad de la atencióna la salud en México a través de sus instituciones. 2012. pp.11-22.Disponible en:

  3. http://www.calidad.salud.gob.mx/site/editorial/docs/calidad_atencion_salud_enMexico_12experiencia.pdf

  4. Mendis S. Cumplimiento de las nuevas metas mundiales relativas alas enfermedades no transmisibles: una responsabilidad compartidaEn: Anarfi AB, editor. Informe sobre la situación mundial de lasenfermedades no transmisibles, Ediciones de la OMS; 2014; p. 6-7.

  5. Lim S, Vos T, Flaxman AD, Danaei G, et al. A comparative riskassessment of burden of disease and injury attributable to 67 riskfactors and risk factor clusters in 21 regions,1990-2010: a systematicanalysis for the Global Burden of Disease Study 2010. Lancet.2012;380(9859):2224-60.

  6. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R,Villalpando-Hernández S, Hernández-Avila M, Sepúlveda-Amor J.Encuesta Nacional de Salud y Nutrición 2016. Cuernavaca, México:Instituto Nacional de Salud Pública, 2016; p. 24-28.

  7. Castillo A. Prevalencia de la Hipertensión Arterial Sistémica porMédicos Familiares en la UMF 20 , en el periodo 2007-2017; IMSS,2017.

  8. Arriaga J. Manual Metodológico de Indicadores Médicos 2017: Promediode consultas de Medicina Familiar por hora/médico, InstitutoMexicano del Seguro Social.2017;259(1):32.Availablefrom:http://www.imss.gob.mx/sites/all/statics/profesionalesSalud/investigacionSalud/normativaInst/MMIM_2017.pdf

  9. CENETEC. Diagnóstico y Tratamiento de la Hipertensión Arterial en elPrimer Nivel de Atención; México: Secretaria de Salud; 2014. https://www.imss.gob.mx/sites/all/statics/guiasclinicas/076GER.pdf

  10. Arroyo P, Fernández V, Loria A, Kuri-Morales P, Orozco- RivadeneyraS; Tapia-Conyer R. Hypertension in urban Mexico. The 1992-93National Survery of Chronic Diseases. J. Human Hypertension.1999;13:671-675.

  11. Dennison-Himmelfarb C, Handler J, Lackland DT. 2014 Evidence-BasedGuideline for the Management of High Blood Pressure in AdultsReport From the Panel Members Appointed to the Eighth JointNational Committee (JNC 8). JAMA. 2019;1097(5):507-20.

  12. Asch SM, McGlynn EA, Hiatt L, Adams J, Hicks J, DeCristofaro A, ChenR, LaPuerta P, Kerr EA. Quality of care for hypertension in the UnitedStates. BMC Cardiovasc Disord. 2005 Jan 7;5(1):1. doi: 10.1186/1471-2261-5-1. PMID: 15638933; PMCID: PMC546215.

  13. Kringos DS, Boerma WGW, Spaan E, Pellny M. A snapshot of theorganization and provision of primary care in Turkey. BMC HealthServ Res 2011;11: 90-7

  14. Seguí Díaz M, Linares Pou L, Blanco López W, Ramos Aleixades J,Torrent Quetglas M. Tiempos durante la visita médica en atenciónprimaria [Division of time in the consultation with the primary caredoctor]. Aten Primaria. 2004 May 31;33(9):496-502.

  15. Urquiza RO. Tiempo de consulta, gestión clínica y trabajo diario deun medico de familia. Revista Médica La Paz [Internet]. 2017 [cited2023 Apr 21];23(2):79–83. Available from: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1726-89582017000200018




2020     |     www.medigraphic.com