ABSTRACT
Resumen Objetivo: Analizar el riesgo de fractura osteoporótica y factores de riesgo asociados en mujeres postmenopáusicas bajo control en un Centro de Atención Primaria de Salud. Material y Método: Estudio cuantitativo de corte transversal, selección de muestra de 197 mujeres entre 50 y 64 años, se calculó su riesgo de fractura mediante FRAX, una herramienta predictiva de fractura que incorpora factores de riesgo, y permite determinar la probabilidad a diez años de sufrir riesgo de fractura osteoporótica mayor y de cadera. Resultados: Un promedio de 3,46% ± 3,18% para riesgo de fractura mayor y de 0,84% ± 1,30% para riesgo de fractura de cadera. La categorización del riesgo indicó un 3% con alto riesgo para fractura mayor y un 11,2% alto riesgo para fractura de cadera. La mayor prevalencia de factores de riesgo fueron la osteoporosis secundaria, fumadora activa y fractura previa. Conclusiones: La situación de riesgo de fractura y los factores de riesgo más prevalentes observados, requiere establecer intervenciones preventivas desde el nivel de atención primaria de salud.
Abstract Objective: To analyze the risk of osteoporotic fracture and associated risk factors in postmenopausal women under control in a Primary Health Care Center. Material and Method: A cross-sectional quantitative study, sample selection of 197 women between 50 and 64 years of age, their risk of fracture was calculated using FRAX, a predictive tool for fracture that incorporates risk factors, and allows the probability to be determined ten years Risk of major osteoporotic fracture and hip fracture. Results: A mean of 3.46% ± 3.18% for greater fracture risk and 0.84% ± 1.30% for hip fracture risk. Risk categorization indicated 3% with high risk for major fracture and 11.2% high risk for hip fracture. The highest prevalence of risk factors was secondary osteoporosis, active smoking, and previous fracture. Conclusions: The situation of risk of fracture and the most prevalent risk factors observed requires establishing preventive interventions from the level of primary health care.
Subject(s)
Humans , Female , Middle Aged , Aged , Osteoporosis, Postmenopausal/etiology , Osteoporotic Fractures/diagnosis , Primary Health Care , Osteoporosis, Postmenopausal/epidemiology , ChileABSTRACT
OBJECTIVE: To evaluate the installation of strategies in the higher complexity hospitals (HMC, in Spanish) of public health in Chile starting from the results of the Balanced Scorecard (BSC), during the years 2011-2012. MATERIALS AND METHODS: The implementation of the BSC is described, the strategies and indicators identified, and the results of the 57 HMC compared and analyzed. RESULTS: Starting from the comparison of the results it is discovered that the BSC allows to evaluate the installation of the strategies. CONCLUSION: Differences are identified in the installation of the strategies by geographical area, with North presenting a higher score (20.21), followed by Center (10.41) and South (19.50), which can be explained by the size and complexity of this establishments, variables that should be incorporated in the evaluation of the results of the BSC.
Subject(s)
Hospitals, Public/standards , Quality Indicators, Health Care , Chile , Health Care Surveys , Health Plan Implementation , Humans , Quality ImprovementABSTRACT
Objetivo. Evaluar la implantación de las estrategias en los hospitales de mayor complejidad (HMC) de salud pública en Chile a partir de los resultados del Cuadro de Mando Integral (CMI), durante los años 2011-2012. Material y métodos. Se describe la implementación del CMI, se identifican las estrategias e indicadores, se comparan y analizan los resultados de los 57 HMC. Resultado. El CMI permite evaluar la implantación de las estrategias. Conclusión. Se identifican diferencias en la implantación de las estrategias por zona geográfica del país: la del Norte es la de mayor puntaje (20.21), seguida de la Central (10.41) y Sur (19.50). Esto se puede explicar por el tamaño y complejidad de tales establecimientos, variables que deberían ser incorporadas en la evaluación de los resultados del CMI.
Objective. To evaluate the installation of strategies in the higher complexity hospitals (HMC, in Spanish) of public health in Chile starting from the results of the Balanced Scorecard (BSC), during the years 2011-2012. Materials and methods. The implementation of the BSC is described, the strategies and indicators identified, and the results of the 57 HMC compared and analyzed. Results. Starting from the comparison of the results it is discovered that the BSC allows to evaluate the installation of the strategies. Conclusion. Differences are identified in the installation of the strategies by geographical area, with North presenting a higher score (20.21), followed by Center (10.41) and South (19.50), which can be explained by the size and complexity of this establishments, variables that should be incorporated in the evaluation of the results of the BSC.