Cargando…

Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level

INTRODUCTION: Cardiovascular diseases (CVD) are the leading death cause in modern world and are the most public health problem. WHO program for CVD contains: prevention, command and follow up of CVD in global level. AIM: Investigate CVD frequency in family medicine team in 2012.year (one year period...

Descripción completa

Detalles Bibliográficos
Autores principales: Beganlic, Azijada, Pavljasevic, Suzana, Kreitmayer, Sanda, Zildzic, Muharem, Softic, Albina, Selmanovic, Senada, Becarevic, Munevera
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500297/
https://www.ncbi.nlm.nih.gov/pubmed/26261378
http://dx.doi.org/10.5455/medarh.2015.69.140-144
_version_ 1782380897189756928
author Beganlic, Azijada
Pavljasevic, Suzana
Kreitmayer, Sanda
Zildzic, Muharem
Softic, Albina
Selmanovic, Senada
Becarevic, Munevera
author_facet Beganlic, Azijada
Pavljasevic, Suzana
Kreitmayer, Sanda
Zildzic, Muharem
Softic, Albina
Selmanovic, Senada
Becarevic, Munevera
author_sort Beganlic, Azijada
collection PubMed
description INTRODUCTION: Cardiovascular diseases (CVD) are the leading death cause in modern world and are the most public health problem. WHO program for CVD contains: prevention, command and follow up of CVD in global level. AIM: Investigate CVD frequency in family medicine team in 2012.year (one year period of time) and qualitative management prevention and clinical services management quality of CVD together with recommended standards. PATIENTS AND METHODS: clinical revision of clinical standard practice patients with CVD was provided in Family medicine team in Public Health Centre Tuzla for the period of time from January 01 2012 - December 31 2012. For quality of realized services, AKAZ standards were based for: chapter 2. Health promotion and diseases prevention 2.5. preventive clinical services; chapter 3. Clinical services, standard 3.1. Coronary diseases and standard 3.2. TIA and Stroke. From CVD register next parameters had been used: age, gender, disease diagnose, therapy, blood pressure values, total cholesterol values, ß blockers therapy, anticoagulant therapy prescription, smoker status, stop smoking recommendation and influenza vaccination recommendation. STATISTICAL APPROACH: All results were taken in Excel program and statistically analyzed. Descriptive standard tests were taken with measurement of central tendency and dispersion. For significant differentials achieved with χ² chances relation was taken (Odds Ratio-OR) with 95% relevant security. All tests were leveled in statistical significant from 95% (p<0,05). RESULTS: Considering total registered habitants number 1448 (males 624 females 824) total diseases of usually CVD in Team 1 family medicine 531 (36,67%). The most frequent disease was hypertension which was presented in 30,31% of registered patients but in total CVD illness was present in 82,67%. In relation with total patients number (531), female prevalence from CVD 345:186 males vs. 65%:35%; P=0,001 and was statistically significantly higher. Almost patients were in age from ≥65 years. Nearly all the standards for chapter 2. Health promotion and diseases prevention and chapter 3. Clinical services, standard 3.1. Coronary diseases and standard 3.2. TIA and Stroke are met in larger percentages than the minimum, however, bad quality signs we have found in total cholesterol control were values of total cholesterol were ≤ 5mmol/l achieved only in 27.58% patients with CVD. Stop smoking recommendation in smokers with TIA and Stroke (total 10 smokers) was registered in 20,00% patients. Indicator was not achieved,(min level 25%). CONCLUSION: Role of family medicine team is extremely important in patient care who suffer from chronically noncontagious diseases such as CVD, as one of them. Considering that in our country preventive programs for CVD are at small level, results of this study are acceptable. Our plans for personal continuous educations and patient educations about healthy life style are pointed for higher or average of achieved standards and of course everything what have to be done should be written in personal dates of patients.
format Online
Article
Text
id pubmed-4500297
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher AVICENA, d.o.o., Sarajevo
record_format MEDLINE/PubMed
spelling pubmed-45002972015-08-10 Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level Beganlic, Azijada Pavljasevic, Suzana Kreitmayer, Sanda Zildzic, Muharem Softic, Albina Selmanovic, Senada Becarevic, Munevera Med Arch Original Paper INTRODUCTION: Cardiovascular diseases (CVD) are the leading death cause in modern world and are the most public health problem. WHO program for CVD contains: prevention, command and follow up of CVD in global level. AIM: Investigate CVD frequency in family medicine team in 2012.year (one year period of time) and qualitative management prevention and clinical services management quality of CVD together with recommended standards. PATIENTS AND METHODS: clinical revision of clinical standard practice patients with CVD was provided in Family medicine team in Public Health Centre Tuzla for the period of time from January 01 2012 - December 31 2012. For quality of realized services, AKAZ standards were based for: chapter 2. Health promotion and diseases prevention 2.5. preventive clinical services; chapter 3. Clinical services, standard 3.1. Coronary diseases and standard 3.2. TIA and Stroke. From CVD register next parameters had been used: age, gender, disease diagnose, therapy, blood pressure values, total cholesterol values, ß blockers therapy, anticoagulant therapy prescription, smoker status, stop smoking recommendation and influenza vaccination recommendation. STATISTICAL APPROACH: All results were taken in Excel program and statistically analyzed. Descriptive standard tests were taken with measurement of central tendency and dispersion. For significant differentials achieved with χ² chances relation was taken (Odds Ratio-OR) with 95% relevant security. All tests were leveled in statistical significant from 95% (p<0,05). RESULTS: Considering total registered habitants number 1448 (males 624 females 824) total diseases of usually CVD in Team 1 family medicine 531 (36,67%). The most frequent disease was hypertension which was presented in 30,31% of registered patients but in total CVD illness was present in 82,67%. In relation with total patients number (531), female prevalence from CVD 345:186 males vs. 65%:35%; P=0,001 and was statistically significantly higher. Almost patients were in age from ≥65 years. Nearly all the standards for chapter 2. Health promotion and diseases prevention and chapter 3. Clinical services, standard 3.1. Coronary diseases and standard 3.2. TIA and Stroke are met in larger percentages than the minimum, however, bad quality signs we have found in total cholesterol control were values of total cholesterol were ≤ 5mmol/l achieved only in 27.58% patients with CVD. Stop smoking recommendation in smokers with TIA and Stroke (total 10 smokers) was registered in 20,00% patients. Indicator was not achieved,(min level 25%). CONCLUSION: Role of family medicine team is extremely important in patient care who suffer from chronically noncontagious diseases such as CVD, as one of them. Considering that in our country preventive programs for CVD are at small level, results of this study are acceptable. Our plans for personal continuous educations and patient educations about healthy life style are pointed for higher or average of achieved standards and of course everything what have to be done should be written in personal dates of patients. AVICENA, d.o.o., Sarajevo 2015-06 2015-06-10 /pmc/articles/PMC4500297/ /pubmed/26261378 http://dx.doi.org/10.5455/medarh.2015.69.140-144 Text en Copyright: © Azijada Beganlic, Suzana Pavljasevic, Sanda Kreitmayer, Muharem Zildzic, Albina Softic, Senada Selmanovic, Munevera Becarevic http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Beganlic, Azijada
Pavljasevic, Suzana
Kreitmayer, Sanda
Zildzic, Muharem
Softic, Albina
Selmanovic, Senada
Becarevic, Munevera
Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level
title Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level
title_full Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level
title_fullStr Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level
title_full_unstemmed Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level
title_short Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level
title_sort qualitative evaluation of cardiovascular diseases management in family medicine team in one year level
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500297/
https://www.ncbi.nlm.nih.gov/pubmed/26261378
http://dx.doi.org/10.5455/medarh.2015.69.140-144
work_keys_str_mv AT beganlicazijada qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel
AT pavljasevicsuzana qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel
AT kreitmayersanda qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel
AT zildzicmuharem qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel
AT softicalbina qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel
AT selmanovicsenada qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel
AT becarevicmunevera qualitativeevaluationofcardiovasculardiseasesmanagementinfamilymedicineteaminoneyearlevel