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
Article
em Es
| LILACS
| ID: biblio-1377956
Biblioteca responsável:
CL1.1
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Doença Crônica
/
Diabetes Mellitus Tipo 2
/
Hipertensão
Tipo de estudo:
Health_technology_assessment
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Maule
Assunto da revista:
MEDICINA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile