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Revista chilena de cardiología

versión On-line ISSN 0718-8560

Resumen

LAGOS, María Elena; SALAZAR, Alide  y  SAEZ, Katia. Diabetes and Hypertension; how user profile relates to indicators of clinical outcomes. Rev Chil Cardiol [online]. 2018, vol.37, n.3, pp.161-169. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602018000300161.

Aim:

To decribe the profile of users of a health program for chronic diseases (CD), especifically Diabetes Mellitus (DM) and Hypertension (HT), and its relation to indicators of clinical results.

Subjects and methods:

The subjects had DM and/or HT and were randomly selected form 4 health centers in southern Chile. Questionaires exploring demographic variables, Patient Assessement of Chronic Illness Care (PACIC) measurements of HbA1c, systolic (SBP) and diastolic (DBP) pressures were used as indicators of clinical results.

Results:

222 subjects with DM and/or HT were evaluated. Mean age was 53.9 years-old (SD 7.5), 67.6% were females. The prevalence of CD was 53.6% for HT, 31.1% for DM+HT and 15.3% for DM. Mean BP and mean HbA1c were slightly higher in users with DM+HT. As perceived by the patient, the evaluation of care had a mean score 2.61 (SD 1.13). "Design of a method of care delivery / decission support" obtained the highest score. In subjects with HT there was a significant correlation between SBP and the number of drugs being received (p=0.03). Also, a significant correlation between HbA1c and disease duration was found in subjects with DM (p=0.02). In subjects with DM+HT significant correlation (p=0.01) existed between disease duration and both HbA1c and SBP.

Conclusion:

The evaluation of care suggests the need for a stronger effort in controlling therapeutic measures. Further studies are needed to refine the relation of user profile and clinical results.

Palabras clave : chronic disease, patient outcome assessment; type 2 diabetes; hypertension; health care, primary..

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