Prevención secundaria de la cardiopatía isquémica en España. Una aproximación desde los estudios observacionales

Abstract

In the period 1994-2003 treatment rates in the secondary prevention of IHD have increased, although there is still much room for improvement.

Auditing secondary prevention of ischaemic heart disease in rural areas of Spain: An opportunity for improvement

“…However, we consider this bias, which would again underestimate quality problems, to be minimal in a public health system such as ours that requires compulsory registration with one doctor, and which subsidizes the full cost of medication for pensioners. With the exception of one, all SP quality studies carried out in PC in Spain following hospital discharge have been cross-sectional (7).…”

“…Several studies (3 Á6) have pointed out numerous problems in the quality of attention received by these patients, including those in Spain (7). In this context, our group, the rural research network (REDIMER) *an organization of the Rural Medicine Work Group of the Spanish Society for Family and Community Medicine, made up of Spanish doctors working in rural areas *set about the task of describing specific aspects related to the quality of SP of ischaemic heart disease in rural and semi-rural areas in Spain, and analysing those factors associated with differences in its management.…”

Estudio para evaluar la satisfacción y adherencia del tratamiento en pacientes que por su dislipemia puedan requerir del tratamiento con pitavastatina = Efecctiveness and treatment satisfaction in dyslipidemia with pitavastatina. Post-authorization, observational and multicentric study (REINA study)

“…Sin embargo, a la vista de los resultados actuales, parece que la práctica clínica habitual desarrollada en las consultas, tanto de AP como de Atención Hospitalaria (AH), se muestra insuficiente para controlar los FRCV en general, y la dislipemia, en particular, tanto en España como en la práctica totalidad de los países desarrollados que han realizado estudios para evaluar el grado de control alcanzado 217,218,219,220 .…”