Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria

Background: Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile. Aim: To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians...

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Autores principales:	Poblete,Fernando, Barticevic,Nicolás, Bastías,Gabriel, Quevedo,Diego, Vargas,Irma
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Case Management Diabetes Mellitus, Type 2 Hypertension Primary Health Care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101269
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spelling	oai:scielo:S0034-988720180011012692019-02-13Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primariaPoblete,FernandoBarticevic,NicolásBastías,GabrielQuevedo,DiegoVargas,Irma Case Management Diabetes Mellitus, Type 2 Hypertension Primary Health Care Background: Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile. Aim: To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians with the supervision of registered nurses. Material and Methods: Two primary health care centers were selected. In one the case management approach was used and the other continued with the usual care model. Patients with HBP or DM2 were selected to participate in both centers. The main outcomes were changes blood pressure and glycosylated hemoglobin levels. Results: Three hundred twenty-eight patients were allocated to the intervention group and 316 to control group. At the baseline evaluation, participants at the control health center had better systolic and diastolic BP levels (SBP and DBP), but no difference in glycosylated hemoglobin. After twelve months the adjusted mean difference in HBP patients for SBP was −0.93 (95% conficence intervals (CI) −5.49,3.63) and for DBP was 1.78 (95%CI −2.89,6.43). Among HBP+DMII patients, the mean difference for SBP was −0.51 (95% −0.52,0.49) and for DBP was −3.39 (95%CI −6.07, −0.7). No differences in glycosylated hemoglobin were observed. In a secondary analysis, the intervention group showed a statistically significant higher SBP and DBP reduction than the control group. Conclusions: The case management approach tested in this study had promissory results among patients with high blood pressure.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.11 20182018-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101269es10.4067/S0034-98872018001101269
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Case Management Diabetes Mellitus, Type 2 Hypertension Primary Health Care
spellingShingle	Case Management Diabetes Mellitus, Type 2 Hypertension Primary Health Care Poblete,Fernando Barticevic,Nicolás Bastías,Gabriel Quevedo,Diego Vargas,Irma Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria
description	Background: Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile. Aim: To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians with the supervision of registered nurses. Material and Methods: Two primary health care centers were selected. In one the case management approach was used and the other continued with the usual care model. Patients with HBP or DM2 were selected to participate in both centers. The main outcomes were changes blood pressure and glycosylated hemoglobin levels. Results: Three hundred twenty-eight patients were allocated to the intervention group and 316 to control group. At the baseline evaluation, participants at the control health center had better systolic and diastolic BP levels (SBP and DBP), but no difference in glycosylated hemoglobin. After twelve months the adjusted mean difference in HBP patients for SBP was −0.93 (95% conficence intervals (CI) −5.49,3.63) and for DBP was 1.78 (95%CI −2.89,6.43). Among HBP+DMII patients, the mean difference for SBP was −0.51 (95% −0.52,0.49) and for DBP was −3.39 (95%CI −6.07, −0.7). No differences in glycosylated hemoglobin were observed. In a secondary analysis, the intervention group showed a statistically significant higher SBP and DBP reduction than the control group. Conclusions: The case management approach tested in this study had promissory results among patients with high blood pressure.
author	Poblete,Fernando Barticevic,Nicolás Bastías,Gabriel Quevedo,Diego Vargas,Irma
author_facet	Poblete,Fernando Barticevic,Nicolás Bastías,Gabriel Quevedo,Diego Vargas,Irma
author_sort	Poblete,Fernando
title	Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria
title_short	Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria
title_full	Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria
title_fullStr	Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria
title_full_unstemmed	Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria
title_sort	efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo ii en atención primaria
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101269
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Efectividad de un modelo de manejo de pacientes con hipertensión y diabetes tipo II en atención primaria

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