2026-05-21T23:19:44Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/93632025-04-10T11:19:59Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19613
Repisalud
author
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
2020-03-30T12:03:58Z
2020-03-30T12:03:58Z
2014-01-07
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
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.
spa
Calidad asistencial
Cardiovascular prevention
Cardiovascular risk
Prevención cardiovascular
Quality care
Riesgo cardiovascular
El estado de la prevención cardiovascular en España
research article
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