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Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA
INTRODUCTION: An adequate communication between levels of medical attention is the key point for optimal treatment and outcomes of the hypertensive population. AIMS: The aim of this study was to evaluate the adequacy of the hypertensive patientś derivation from Primary Care to Specialized Care. As s...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983622/ https://www.ncbi.nlm.nih.gov/pubmed/25697731 http://dx.doi.org/10.1016/j.aprim.2015.01.001 |
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author | Martell-Claros, Nieves Abad-Cardiel, María Álvarez-Álvarez, Beatriz García-Donaire, Jose Antonio Galgo-Nafría, Alberto |
author_facet | Martell-Claros, Nieves Abad-Cardiel, María Álvarez-Álvarez, Beatriz García-Donaire, Jose Antonio Galgo-Nafría, Alberto |
author_sort | Martell-Claros, Nieves |
collection | PubMed |
description | INTRODUCTION: An adequate communication between levels of medical attention is the key point for optimal treatment and outcomes of the hypertensive population. AIMS: The aim of this study was to evaluate the adequacy of the hypertensive patientś derivation from Primary Care to Specialized Care. As secondary objectives, the information registered on the derivation report was assessed and concordance between derivation reason and final diagnosis was analysed. DESIGN: This is an observational, descriptive, multicentre study. SITE: Study conducted at the national level. PARTICIPANTS: Specialty Care Physicians receiving hypertensive patients referred from primary care. PRINCIPAL MEASUREMENTS: On the baseline visit, the specialist physicians assessed the quality of the derivation records and attended the patient. After the study, final diagnosis and treatment is suggested on the final visit. RESULTS: 1769 subjects were included, mean aged 62,4 (13,6) years, 45% female. Time of diagnosis of hypertension was 8,0 (7,7) years. More than the half of the derivation records contained very good information (5,4%; CI 4,3-6,5) or sufficient (50,7%; CI 48,4-53,0). In 7,1% (IC 5,9-8,3) derivation cause was not specified. 74,7% of the derivations were considered as appropriate, though 30% were late. Concordance between derivation reasons and final diagnosis was low (kappa index 0,208). CONCLUSIONS: A quarter of the hypertensive population is unnecessary derived to Secondary Care and 30% of the appropriately derived was late. We should improve the interrelation of attention in the hypertension and cardiovascular area between the both attention levels. |
format | Online Article Text |
id | pubmed-6983622 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-69836222020-01-29 Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA Martell-Claros, Nieves Abad-Cardiel, María Álvarez-Álvarez, Beatriz García-Donaire, Jose Antonio Galgo-Nafría, Alberto Aten Primaria Originales INTRODUCTION: An adequate communication between levels of medical attention is the key point for optimal treatment and outcomes of the hypertensive population. AIMS: The aim of this study was to evaluate the adequacy of the hypertensive patientś derivation from Primary Care to Specialized Care. As secondary objectives, the information registered on the derivation report was assessed and concordance between derivation reason and final diagnosis was analysed. DESIGN: This is an observational, descriptive, multicentre study. SITE: Study conducted at the national level. PARTICIPANTS: Specialty Care Physicians receiving hypertensive patients referred from primary care. PRINCIPAL MEASUREMENTS: On the baseline visit, the specialist physicians assessed the quality of the derivation records and attended the patient. After the study, final diagnosis and treatment is suggested on the final visit. RESULTS: 1769 subjects were included, mean aged 62,4 (13,6) years, 45% female. Time of diagnosis of hypertension was 8,0 (7,7) years. More than the half of the derivation records contained very good information (5,4%; CI 4,3-6,5) or sufficient (50,7%; CI 48,4-53,0). In 7,1% (IC 5,9-8,3) derivation cause was not specified. 74,7% of the derivations were considered as appropriate, though 30% were late. Concordance between derivation reasons and final diagnosis was low (kappa index 0,208). CONCLUSIONS: A quarter of the hypertensive population is unnecessary derived to Secondary Care and 30% of the appropriately derived was late. We should improve the interrelation of attention in the hypertension and cardiovascular area between the both attention levels. Elsevier 2015-12 2015-02-17 /pmc/articles/PMC6983622/ /pubmed/25697731 http://dx.doi.org/10.1016/j.aprim.2015.01.001 Text en © 2014 Elsevier Espa˜na, S.L.U. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Originales Martell-Claros, Nieves Abad-Cardiel, María Álvarez-Álvarez, Beatriz García-Donaire, Jose Antonio Galgo-Nafría, Alberto Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA |
title | Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA |
title_full | Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA |
title_fullStr | Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA |
title_full_unstemmed | Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA |
title_short | Análisis del proceso de derivación del paciente hipertenso en España: Estudio DERIVA |
title_sort | análisis del proceso de derivación del paciente hipertenso en españa: estudio deriva |
topic | Originales |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983622/ https://www.ncbi.nlm.nih.gov/pubmed/25697731 http://dx.doi.org/10.1016/j.aprim.2015.01.001 |
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