Quality of process in the implementation of the Arterial Hypertension program
Keywords:
Arterial Hypertension, Primary Health Care, professional competence, cardiovascular risk.Abstract
Introduction: There is quality in health care when the results or effects of this process meet the requirements of external and internal clients and also comply with norms, procedures, and institutional rules of the system.
Objective: To evaluate the quality of process in the implementation of the arterial hypertension program.
Material and Methods: Research was carried out on health systems and services at Ramón López Peña Policlinic in Santiago de Cuba from January to August 2021, wherein the competence and professional performance of 81 family physicians were evaluated. A committee of experts prearranged criteria, indicators, and evaluation standards.
Results: Follow-up strategy (51.8%); Cardiac Risk Stratification (CRS), (55.5%); treatment according cardiovascular risk, and choice of treatment were the least known topics among family doctors. Group activities with hypertensive patients were confirmed in only 33% of Family Physician´ Offices (CMF). Most of the criteria in relation to the quality of consultations in Personal Clinical Histories proved inadequate, being interconsultations made to other related specialties and Cardiac Risk Stratification (CRS) the most representative.
Conclusions: There are difficulties in both performance and professional competence in the implementation of the arterial hypertension program in the health area, affecting the quality of its compliance.
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References
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