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dc.contributor.author | Royo-Bordonada, Miguel Angel | |
dc.contributor.author | Lobos, José Maria | |
dc.contributor.author | Brotons, Carlos | |
dc.contributor.author | Villar, Fernando | |
dc.contributor.author | de Pablo, Carmen | |
dc.contributor.author | Armario, Pedro | |
dc.contributor.author | Cortés, Olga | |
dc.contributor.author | Gil Nuñez, Antonio | |
dc.contributor.author | Lizcano, Angel | |
dc.contributor.author | de Santiago, Ana | |
dc.contributor.author | Sans, Susana | |
dc.date.accessioned | 2020-03-30T12:03:58Z | |
dc.date.available | 2020-03-30T12:03:58Z | |
dc.date.issued | 2014-01-07 | |
dc.identifier.citation | Med Clin (Barc) , 142 (1), 7-14 | es_ES |
dc.identifier.issn | 0025-7753 | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/9363 | |
dc.description.abstract | BACKGROUND AND OBJECTIVE: In Spain, where cardiovascular diseases are the leading cause of death, control of their risk factors is low. This study analyzes the implementation of cardiovascular risk (CVR) assessment in clinical practice and the existence of control objectives amongst quality care indicators and professional incentive systems. METHOD: Between 2010 and 2011, data from each autonomous community were collected, by means of a specific questionnaire concerning prevalence and control of major CVR factors, CVR assessment, and implementation of control objectives amongst quality care indicators and primary care incentive systems. RESULTS: Fifteen out of 17 autonomous communities filled in the questionnaire. CVR was calculated through SCORE in 9 autonomous communities, REGICOR in 3 and Framingham in 3, covering 3.4 to 77.6% of target population. The resulting control of the main CVR factors was low and variable: hypertension (22.7-61.3%), dyslipidemia (11-45.1%), diabetes (18.5-84%) and smoking (20-50.5%). Most autonomous communities did not consider CVR assessment and control amongst quality care indicators or incentive systems, highlighting the lack of initiatives on lifestyles. CONCLUSIONS: Variability exists in cardiovascular prevention policies among autonomous communities. It is necessary to implement a common agreed cardiovascular prevention guide, to encourage physicians to implement CVR in electronic clinical history, and to promote CVR assessment and control inclusion amongst quality care indicators and professional incentive systems, focusing on lifestyles management. | es_ES |
dc.description.sponsorship | Este estudio ha sido financiado por una beca no condicionada de MSD. El estudio fue coordinado por el CEIPC. Los autores tuvieron pleno acceso a todos los datos y fueron los responsables ultimos de los contenidos del manuscrito y de la decisio´n de remitirlo para publicacion. | es_ES |
dc.language.iso | spa | es_ES |
dc.publisher | Elsevier | es_ES |
dc.type.hasVersion | SMUR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Calidad asistencial | es_ES |
dc.subject | Cardiovascular prevention | es_ES |
dc.subject | Cardiovascular risk | es_ES |
dc.subject | Prevención cardiovascular | es_ES |
dc.subject | Quality care | es_ES |
dc.subject | Riesgo cardiovascular | es_ES |
dc.subject.mesh | Cardiovascular Diseases | es_ES |
dc.subject.mesh | Humans | es_ES |
dc.subject.mesh | Male | es_ES |
dc.subject.mesh | Risk Assessment | es_ES |
dc.subject.mesh | Spain | es_ES |
dc.title | El estado de la prevención cardiovascular en España | es_ES |
dc.title.alternative | The condition of the cardiovascular prevention in Spain | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.identifier.pubmedID | 23433666 | es_ES |
dc.format.volume | 142 | es_ES |
dc.format.number | 1 | es_ES |
dc.format.page | 7-14 | es_ES |
dc.identifier.doi | 10.1016/j.medcli.2012.09.046 | es_ES |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1578-8989 | es_ES |
dc.relation.publisherversion | https://doi.org/10.1016/j.medcli.2012.09.046 | es_ES |
dc.identifier.journal | Medicina clinica | es_ES |
dc.repisalud.centro | ISCIII::Escuela Nacional de Sanidad | es_ES |
dc.repisalud.institucion | ISCIII | es_ES |
dc.rights.accessRights | open access | es_ES |