Caracterización del programa de salud cardiovascular GES DM2 e HTA bajo un modelo de intervenciones múltiples en una Unidad de Salud Familiar (UMF) de un centro médico privado / Characterization of a cardiovascular health program in Type 2 Diabetes Mellitus and Arterial Hypertension, under a model of multiple interventions in a Family Medicine Health Unit, of a private medical center
Rev. méd. Maule
;
36(2): 24-33, dic. 2021. ilus, tab
Artículo
en Español
| LILACS
| ID: biblio-1377956
ABSTRACT
In the Family Medicine Unit (UMF) of the UC Health Network there is a program of multiple interventions based on a Chronic Control Model (CCM), led by a nurse who coordinates the activities and ensures compliance, aspiring to a change in its model of care and self-sustainability. It has been running for several years and its implementation and results have not been evaluated. Objective:
This study aims to describe the situation of the Program, at its different levels structure, processes and results. Material andmethod:
Observational, descriptive longitudinal study of patients seen between July 2010 and June 2012, based on methodology proposed by A. Donabedian; E. Wagner recommendations for the MTC; Monthly Statistical Registers and recommendations of the GES DM2 and HTA (MINSAL) Guides.Results:
Hypertensive patients present a reduction of 11.2 mmHg in SBP and 7.8 mmHg in DBP (p 0.04). Diabetics present a reduction in HbA1c by 1.5 percentage points (p 0.04), and mixed patients present a SBP / DBP reduction of 10.3 and 6.8 mmHg respectively and an HbA1c reduction of 1.1 percentage points (p 0.092).Conclusions:
After an average of 15 months, hypertensive patients significantly improve their mean SBP, DBP and compensation percentages; diabetics significantly improve their mean HbA1c and compensation percentages; mixed patients manage to improve their blood pressure and HbA1c levels, but this is not statistically significant.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Enfermedad Crónica
/
Diabetes Mellitus Tipo 2
/
Hipertensión
Tipo de estudio:
Evaluación de Tecnologías en Salud
/
Estudio observacional
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Maule
Asunto de la revista:
Medicina
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
CESFAM Dr. Alberto Allende Jones/CL
/
Hospital Regional de Talca/CL
/
Universidad Católica del Maule/CL
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