The results suggest the need to incorporate healthcare quality indicators as outputs when considering criteria for the streamlining of primary healthcare services. Failure to incorporate quality indicators is associated with various primary healthcare concepts.
Adherence to antihypertensive medication is an important challenge that doctors often face in the treatment of hypertension. Good adherence is crucial to prevent cardiovascular complications. In consequence, the present study aimed at determining the prevalence of adherence to antihypertensive treatment and identifying associated clinical variables. A multicenter cross-sectional study was conducted in 12 cities of Argentina.A systematic sampling was performed in order to select patients with hypertension and under pharmacological treatment for at least 6 months. Physicians took three BP measurements, and the level of adherence was assessed using the self-administered Morisky questionnaire (MMAS-8). Participants were classified into three levels of adherence: high adherence-MMAS score of 8; medium adherence-MMAS scores of 6 to <8; and low adherence-MMAS scores of <6. A total of 1111 individuals (62 ± 12 years old, | 657 ESPECHE Et al.
The prevalence of AHT (arterial hypertension) in patients in this population is not known due to the difficult access of health personnel, and the accessibility and cultural characteristics of these patients.Some characteristics of these populations, blood pressure and differences with patients in cities, were evaluated. The objective of this study is to evaluate what modifications can be made to improve the health of these hypertensive patients.The study was carried out in 4 towns in the province of Formosa that are 512, 354, 162 and 103 km away from the capital city. It was carried out in all cases in public institutions and the patients used as controls were patients not referred from rural areas. During the year 2020. A survey and pressure measurement were carried out with validated sphygmomanometers and under the recommended conditions. The data was analyzed by the STatistix program.Of 1034 patients attended, a random sample of 20% of said population was taken and a similar sample in the city, it was observed in the rural sample average age of 48 years, 52% of male sex, the BP (blood pressure) S (systolic)1/2 145 and diastolic D 83, and with AHT 51.1% S and 39.3% D. 24% of the patients attended consulted for AHT, they presented AHT 180/110: 10% were referred 3% of the patients for presenting signs of target organ damage. Those from the city: age ½ 39 years old, consulted due to hypertension 42%, mean BP S 141 D 85, the percentage of hypertensive patients in the consultation was 43% S and 35% D. They were treated in rural areas 8, 75% of native aboriginal race that was increasing over time with the number of attentions (1 pte to 5 to 6 ptes).It was demonstrated in these populations, the differences with patients who consult in the city of age to which they consult, the degree of control of hypertensive patients and the number of patients known to be hypertensive and consult a control for it, it was possible to serve populations special, in this case aboriginal and measure variables in them. It is hoped in the future to evaluate the usefulness at the population level of these services.
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