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Med Clin (Barc). 2014 Jan 7;142(1):7-14. doi: 10.1016/j.medcli.2012.09.046. Epub 2013 Feb 22.

[The condition of the cardiovascular prevention in Spain].

[Article in Spanish]

Author information

  • 1Instituto de Salud Carlos III, Madrid, España. Electronic address: mroyo@isciii.es.
  • 2Sociedad Española de Medicina de Familia y Comunitaria, Madrid, España.
  • 3Sociedad Española de Arteriosclerosis, Madrid, España.
  • 4Sociedad Española de Cardiología, Madrid, España.
  • 5Sociedad Española de Hipertensión-Liga Española de la Lucha Contra la Hipertensión Arterial, Barcelona, España.
  • 6Asociación Española de Pediatría de Atención Primaria, Madrid, España.
  • 7Sociedad Española de Neurología, Barcelona, España.
  • 8Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria, Madrid, España.
  • 9Sociedad Española de Médicos de Atención Primaria, Madrid, España.
  • 10Sociedad Española de Salud Pública y Administración Sanitaria, Barcelona, España.

Abstract

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.

Copyright © 2012 Elsevier España, S.L. All rights reserved.

KEYWORDS:

Calidad asistencial; Cardiovascular prevention; Cardiovascular risk; Prevención cardiovascular; Quality care; Riesgo cardiovascular

PMID:
23433666
[PubMed - indexed for MEDLINE]
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