HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.58043/rphrc.44 |
Resumo: | Introduction: Arterial hypertension (hypertension) is significantly related to an increased risk of cardiovascular and renal diseases, being the main contributor to early death in 2015. Adequate monitoring of those who suffer from it implies non-pharmacological and pharmacological therapeutic measures to be effectively followed in the General Practice environment.The Primary Health Care Identity Card (BI-CSP) platform collects national data that are disaggregated up to the level of the health unit of contractual indicators, among them the “proportion of hypertensive patients, with adequate monitoring”. Objective: To study the progression of the indicator 2013.025.01 FL “proportion of hypertensive patients, with adequate monitoring” over the months April, May and June of the years 2017, 2018, 2019 and 2020, in Portugal, in the whole national and by Regional Health Administration. Methods: In a cross-sectional observational study, half plus one of the AceS of the ARS Norte, Centro and LVT and all the AceS of the ARS Alentejo and Algarve were randomized and the data for April, May and June 2017, 2018, 2019 and 2020 from the BI-CSP platform were collected., relating to the 2013.025.01 FL indicator. The growth dynamics were calculated for the ranges from 2017 to 2019, 2017 to 2020 and the range from 2017 to 2019 to 2020, nationwide and by ARS. Results: At national level, there was a growth dynamic of + 20.29 between 2017 and 2019, of – 5.91 between 2017 and 2020 and of – 15,41 between the average of the 2017-2019 three-year period and the year 2020.At the regional level, between 2017 and 2019 there were positive growth dynamics. The growth dynamics between 2017 and 2020 had distinct negative variations, more marked for the North (-27.33) and still positive for Algarve (+ 55.78). Conclusions: According to the objectives defined for this article, we concluded that, from 2017 to 2019, there was a positive progression in the monitoring of hypertensive patients in PHC. With the pandemic situation, the scenario was reversed. These results reveal that the implementation of measures to continue caring for these patients while complying with the rules to combat the pandemic was insufficient. It is, therefore, extremely important to plan and create strategies to adapt to new unexpected realities, which allow the correct monitoring of hypertensive patients to be maintained. |
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HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGALDOENTES HIPERTENSOS COM ACOMPANHAMENTO ADEQUADO: TENDÊNCIA ENTRE OS ANOS DE 2017 A 2020 EM PORTUGALHipertensão ArterialMonitorizaçãoPortugalPandemiaCOVID-19Indicadores em saúdeCOVID-19HypertensionMonitoringPortugalPandemicIntroduction: Arterial hypertension (hypertension) is significantly related to an increased risk of cardiovascular and renal diseases, being the main contributor to early death in 2015. Adequate monitoring of those who suffer from it implies non-pharmacological and pharmacological therapeutic measures to be effectively followed in the General Practice environment.The Primary Health Care Identity Card (BI-CSP) platform collects national data that are disaggregated up to the level of the health unit of contractual indicators, among them the “proportion of hypertensive patients, with adequate monitoring”. Objective: To study the progression of the indicator 2013.025.01 FL “proportion of hypertensive patients, with adequate monitoring” over the months April, May and June of the years 2017, 2018, 2019 and 2020, in Portugal, in the whole national and by Regional Health Administration. Methods: In a cross-sectional observational study, half plus one of the AceS of the ARS Norte, Centro and LVT and all the AceS of the ARS Alentejo and Algarve were randomized and the data for April, May and June 2017, 2018, 2019 and 2020 from the BI-CSP platform were collected., relating to the 2013.025.01 FL indicator. The growth dynamics were calculated for the ranges from 2017 to 2019, 2017 to 2020 and the range from 2017 to 2019 to 2020, nationwide and by ARS. Results: At national level, there was a growth dynamic of + 20.29 between 2017 and 2019, of – 5.91 between 2017 and 2020 and of – 15,41 between the average of the 2017-2019 three-year period and the year 2020.At the regional level, between 2017 and 2019 there were positive growth dynamics. The growth dynamics between 2017 and 2020 had distinct negative variations, more marked for the North (-27.33) and still positive for Algarve (+ 55.78). Conclusions: According to the objectives defined for this article, we concluded that, from 2017 to 2019, there was a positive progression in the monitoring of hypertensive patients in PHC. With the pandemic situation, the scenario was reversed. These results reveal that the implementation of measures to continue caring for these patients while complying with the rules to combat the pandemic was insufficient. It is, therefore, extremely important to plan and create strategies to adapt to new unexpected realities, which allow the correct monitoring of hypertensive patients to be maintained.Objetivo: Estudar a progressão do indicador 2013.025.01 FL “proporção de hipertensos, com acompanhamento adequado” ao longo dos meses abril, maio e junho dos anos 2017, 2018, 2019 e 2020, em Portugal, no todo nacional e por ARS. Métodos: Estudo observacional transversal em amostra aleatória de ACeS de cada Região de Saúde, de dados dos meses de abril, maio e junho de 2017, 2018, 2019 e 2020 na plataforma BI-CSP, do indicador 2013.025.01 FL. Efetuou-se o cálculo da dinâmica de crescimento para os intervalos de 2017 a 2019, 2017 a 2020 e do intervalo de 2017 a 2019 para 2020, no todo nacional e por ARS. Resultados: A nível nacional verificou-se uma dinâmica de crescimento de + 20,29 entre 2017 e 2019, de - 0,06 entre 2017 e 2020 e de – 15,41 entre a média do triénio 2017-2019 e o ano de 2020.A nível regional, entre 2017 e 2019, verificavam-se dinâmicas de crescimento positivas. A dinâmica de crescimento entre 2017 e 2020 teve variações negativas distintas, mais marcada para a ARS do Norte (- 27,33) e positiva ainda para a do Algarve (+ 55,78). Conclusões: Entre 2017 e 2019, verificou-se dinâmica de crescimento positiva no acompanhamento dos doentes hipertensos nos CSP que se inverteu com o surgimento da pandemia COVID19. A implementação de medidas para cuidar de pessoas sofrendo de hipertensão arterial na pandemia foram insuficientes. Devem ser planeadas medidas para adaptação que permitam a manutenção do correto acompanhamento dos doentes hipertensos, reduzindo a morbimortalidade associada à hipertensão arterial.Revista Portuguesa de Hipertensão e Risco Cardiovascular2022-06-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.44https://doi.org/10.58043/rphrc.44Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 89 (2022): Maio / Junho; 8-141646-8287reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistahipertensao.pt/index.php/rh/article/view/44https://revistahipertensao.pt/index.php/rh/article/view/44/45Roxo, FernandoMiguel Santiago, Luizinfo:eu-repo/semantics/openAccess2024-02-03T07:36:43Zoai:ojs.revistahipertensao.pt:article/44Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:05:08.861661Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL DOENTES HIPERTENSOS COM ACOMPANHAMENTO ADEQUADO: TENDÊNCIA ENTRE OS ANOS DE 2017 A 2020 EM PORTUGAL |
title |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL |
spellingShingle |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL Roxo, Fernando Hipertensão Arterial Monitorização Portugal Pandemia COVID-19 Indicadores em saúde COVID-19 Hypertension Monitoring Portugal Pandemic |
title_short |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL |
title_full |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL |
title_fullStr |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL |
title_full_unstemmed |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL |
title_sort |
HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL |
author |
Roxo, Fernando |
author_facet |
Roxo, Fernando Miguel Santiago, Luiz |
author_role |
author |
author2 |
Miguel Santiago, Luiz |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Roxo, Fernando Miguel Santiago, Luiz |
dc.subject.por.fl_str_mv |
Hipertensão Arterial Monitorização Portugal Pandemia COVID-19 Indicadores em saúde COVID-19 Hypertension Monitoring Portugal Pandemic |
topic |
Hipertensão Arterial Monitorização Portugal Pandemia COVID-19 Indicadores em saúde COVID-19 Hypertension Monitoring Portugal Pandemic |
description |
Introduction: Arterial hypertension (hypertension) is significantly related to an increased risk of cardiovascular and renal diseases, being the main contributor to early death in 2015. Adequate monitoring of those who suffer from it implies non-pharmacological and pharmacological therapeutic measures to be effectively followed in the General Practice environment.The Primary Health Care Identity Card (BI-CSP) platform collects national data that are disaggregated up to the level of the health unit of contractual indicators, among them the “proportion of hypertensive patients, with adequate monitoring”. Objective: To study the progression of the indicator 2013.025.01 FL “proportion of hypertensive patients, with adequate monitoring” over the months April, May and June of the years 2017, 2018, 2019 and 2020, in Portugal, in the whole national and by Regional Health Administration. Methods: In a cross-sectional observational study, half plus one of the AceS of the ARS Norte, Centro and LVT and all the AceS of the ARS Alentejo and Algarve were randomized and the data for April, May and June 2017, 2018, 2019 and 2020 from the BI-CSP platform were collected., relating to the 2013.025.01 FL indicator. The growth dynamics were calculated for the ranges from 2017 to 2019, 2017 to 2020 and the range from 2017 to 2019 to 2020, nationwide and by ARS. Results: At national level, there was a growth dynamic of + 20.29 between 2017 and 2019, of – 5.91 between 2017 and 2020 and of – 15,41 between the average of the 2017-2019 three-year period and the year 2020.At the regional level, between 2017 and 2019 there were positive growth dynamics. The growth dynamics between 2017 and 2020 had distinct negative variations, more marked for the North (-27.33) and still positive for Algarve (+ 55.78). Conclusions: According to the objectives defined for this article, we concluded that, from 2017 to 2019, there was a positive progression in the monitoring of hypertensive patients in PHC. With the pandemic situation, the scenario was reversed. These results reveal that the implementation of measures to continue caring for these patients while complying with the rules to combat the pandemic was insufficient. It is, therefore, extremely important to plan and create strategies to adapt to new unexpected realities, which allow the correct monitoring of hypertensive patients to be maintained. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-26 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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https://doi.org/10.58043/rphrc.44 https://doi.org/10.58043/rphrc.44 |
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https://doi.org/10.58043/rphrc.44 |
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por |
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https://revistahipertensao.pt/index.php/rh/article/view/44 https://revistahipertensao.pt/index.php/rh/article/view/44/45 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Revista Portuguesa de Hipertensão e Risco Cardiovascular |
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Revista Portuguesa de Hipertensão e Risco Cardiovascular |
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Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 89 (2022): Maio / Junho; 8-14 1646-8287 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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