Benet Martí J M, Cortés Vargas P, Solé Villa J, Guarga Rojas A, Marquet Palomer R, Muñoz Grimaldo M, Pascual Talavera J M
CAP La Mina, Sant Adrià de Besós.
Aten Primaria. 1990 May;7 Spec No:20-2, 24-6, 28.
After having found that the prevalences of hypertension, hypercholesterolemia, obesity and smoking were low in our adult population on care, we developed a study to investigate the causes of the problem and to introduce measures for its solution following the methodology of the medical audit. The indexes showed that the performance of preventive cardiovascular activities (PCVA) was low: blood pressure measurement 45%, blood cholesterol determination 23%, height and weight measurement 8% and questioning on smoking habits 40%. After the implementation of corrective measures, indexes of 79%, 76%, 71% and 56%, respectively, have been achieved. In addition, a defective recording of the detected risk factors was found: 87% in the clinical history record, 72% in the age and sex card; after the corrective measures, the rates were 98% and 91% respectively. The present study demonstrates the effectiveness of quality control measures carried out by the professionals responsible for care to improve its quality.
在发现我们接受护理的成年人群中高血压、高胆固醇血症、肥胖症和吸烟的患病率较低后，我们开展了一项研究，按照医学审计方法调查该问题的原因并引入解决措施。指标显示预防性心血管活动（PCVA）的执行情况较差：血压测量为45%，血胆固醇测定为23%，身高和体重测量为8%，吸烟习惯询问为40%。实施纠正措施后，分别达到了79%、76%、71%和56%的指标。此外，还发现检测到的风险因素记录存在缺陷：临床病史记录中为87%，年龄和性别卡片中为72%；采取纠正措施后，比率分别为98%和91%。本研究证明了负责护理的专业人员实施质量控制措施以提高护理质量的有效性。
