2026-05-22T00:40:27Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/93632025-04-10T11:19:59Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19613

00925njm 22002777a 4500 dc Royo-Bordonada, Miguel Angel author Lobos, José Maria author Brotons, Carlos author Villar, Fernando author de Pablo, Carmen author Armario, Pedro author Cortés, Olga author Gil-Núñez, Antonio author Lizcano, Angel author de Santiago, Ana author Sans, Susana author 2014-01-07 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. Med Clin (Barc) , 142 (1), 7-14 10.1016/j.medcli.2012.09.046 1578-8989 0025-7753 Medicina clinica 23433666 http://hdl.handle.net/20.500.12105/9363 Calidad asistencial Cardiovascular prevention Cardiovascular risk Prevención cardiovascular Quality care Riesgo cardiovascular El estado de la prevención cardiovascular en España