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Revista chilena de cardiología

On-line version ISSN 0718-8560

Abstract

LAGOS, María Elena; SALAZAR, Alide  and  LUENGO, Luis Humberto. Evaluation of care provided to users suffering from chronic cardiovascular disease at Family Health Centers. Rev Chil Cardiol [online]. 2016, vol.35, n.2, pp.99-108. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602016000200002.

Background: Control of cardiovascular disease remains a challenge for health care systems. Objective: To determine whether care provided by health teams to users suffering from chronic cardiovascular diseases is consistent with the Chronic Care Model, and to explore it's effectiveness using compensation indicator from the cardiovascular health programs. Methods: A descriptive cross-sectional design was used. 9 health teams providing assistance to chronic users (diabetes and hypertension) in Family Health Centers in southern-central Chile were included. We used ACIC version 3.5 adapted to Chilean Spanish to evaluate quality of chronic care. Indicators of compensation for hypertension and diabetes mellitus type 2 defined by national cardiovascular programs were obtained from the monthly statistical summary of each health center. Results: "Organization of the Healthcare Delivery System" was the best evaluated dimension. The lower scores corresponded to "Integration of Chronic Care Model Components" and "Decision Support". Only a tendency for a positive correlation wasfound between care given to users suffering from chronic disease and compensation indicators for type 2 diabetes mellitus. No such tendency was observed for hypertension. Conclusion: "Organization of the Healthcare Delivery System" was the best evaluated dimension of the Chronic Care Model in 9 Health temas delivering care to chronic users in Chile The relation between chronic care dimensions and compensation indicators for type 2 diabetes mellitus and hypertension was not satisfactory.

Keywords : Chronic disease; health care delivery; patient care team.

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