Publication:
[Primary care evaluation of the hypertensive patient management in specialized care after derivation (DERIVA-2 Study)].

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Date

2017-10-14

Authors

Martell-Claros, Nieves
Galgo Nafría, Alberto
Abad-Cardiel, María
Álvarez-Álvarez, Beatriz
García Donaire, José Antonio
Márquez-Contreras, Emilio
Molino-González, Ángel

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Abstract

To know the opinion/evaluation of the primary care physicians (PCPH) of the received information about patients that were attended in specialized care (SC). Cross-sectional study. Performed nationwide in primary care centers. Researchers from the primary care network. We used the SEH-LELHA derivation criteria guidelines, plus an ad hoc survey that included demographic and anthropometric data, blood pressure levels, and the main reason for derivation to SC at the baseline and final (post-derivation) visit. In addition, time deployed for the study of every patient, changes in diagnosis and treatment, type of follow-up, issues throughout the derivation process and assessment of the medical referred to the PCPH were evaluated. With participation of 578 researchers from primary, the study included 1715 patients aged 60.7±13.3years, 62.7% male. Patients were taking 2.3±1.2 (range 0-10) antihypertensive drugs pre-referral and 2.5±1.2 (0-9) after derivation. Blood pressure levels changed from 166±21.6 /97.7±12.6mmHg to 143±14.4 /85.5±10.5mmHg. The number of controlled patients (BP Communication between AE and SC in HTA is valued satisfactorily by MAP. However there is still room for improvement in the process.

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Adult
Aged
Aged, 80 and over
Antihypertensive Agents
Blood Pressure
Consensus
Cross-Sectional Studies
Female
Humans
Hypertension
Male
Middle Aged
Physicians, Primary Care
Polypharmacy
Prospective Studies
Referral and Consultation
Spain
Specialization
Time Factors
Young Adult

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Atención especializada en hipertensión, Coordinación entre niveles, Coordination between health-care levels, Derivación, Derivation, Hipertensión, Hypertension, Niveles de atención de salud: Atención primaria, Primary care, Specializing in hypertension care

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