Vilaplana Vivancos R, Tobías Ferrer J
Area Básica de Salud Manresa-2, Manresa, Barcelona.
Aten Primaria. 1994 Apr 15;13(6):320-2.
To analyse compliance in the application of the Arterial Hypertension procedure and the level of monitoring of our hypertensive patients. To introduce quality control methodology into the Primary Care team's work systems.
Observation study of a crossover type.
Primary Care. Plaza Cataluña PCC, Manresa (Barcelona).
Audit of 100 medical records of hypertensive patients selected by systematic random sampling from a total of 533 hypertensive patients under 70 years old.
43% of the hypertensive patients had their pressure figures adequately monitored (CI 95%: 33.3-52.7) with 4.86 average number of checks per year. Analytic blood controls were performed on 66% and urine controls on 56%. Only 34% of patients had a minimal cardiovascular investigation, while back-of-eye investigation and ECGs were performed on 44% and 49%, respectively.
The arterial pressure monitoring level is acceptable. Compliance with the procedure is deficient in most complementary investigations. The periodicity of ECGs should be agreed. It is clear that patients for whom compliance with the procedure is most deficient are those who have fewer arterial pressure recordings as well as those receiving no drugs treatment. New objectives are proposed. Lastly, corrective measures are suggested, with a reassessment after two years.
分析高血压治疗流程的应用依从性以及我们高血压患者的监测水平。将质量控制方法引入基层医疗团队的工作系统。
交叉类型的观察性研究。
基层医疗。巴塞罗那省曼雷萨市加泰罗尼亚广场初级保健中心。
从总共533名70岁以下高血压患者中通过系统随机抽样选取100例高血压患者的病历进行审核。
43%的高血压患者血压数据得到充分监测（95%置信区间：33.3 - 52.7），每年平均检查次数为4.86次。66%的患者进行了血液分析检查，56%的患者进行了尿液检查。只有34%的患者进行了最低限度的心血管检查，而眼底检查和心电图检查分别为44%和49%。
血压监测水平尚可。大多数补充检查的治疗流程依从性不足。心电图检查的周期应达成一致。显然，治疗流程依从性最差的患者是血压记录较少以及未接受药物治疗的患者。提出了新的目标。最后，建议采取纠正措施，并在两年后进行重新评估。
