[Use of clinical guidelines and the results in primary healthcare for hypertension].
This study aimed to identify strategies to implement clinical guidelines for hypertension in a primary healthcare unit, focusing on the effects of the Family Health Program (FHP) and government Pharmaceutical Home Delivery Program (PHDP) on adherence to guidelines by health professionals and the results of care. The data were obtained from a registry of 5,499 hypertensive patients, stratified according to registration in the FHP and PHDP. The random selection procedure resulted in samples of 150 patient charts in three strata and one stratum (without the FHP or PHDP) with only 22 patient charts. Descriptive statistics and linear regression models were obtained, incorporating the structural information from the sample design (sample strata and weight). Based on information recorded on the patient charts, adherence to clinical guidelines was extremely low. A positive effect had been expected from the FHP and PHDP in terms of adherence to clinical guidelines and results of care. A trend towards a positive effect was observed for the PHDP and a slightly favorable performance for the FHP for adherence to clinical guidelines.
Lima
Sheyla Maria Lemos
SM
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. slemos@ensp.fiocruz.br
Portela
Margareth Crisóstomo
MC
Koster
Isabella
I
Escosteguy
Claudia Caminha
CC
Ferreira
Vanja Maria Bessa
VM
Brito
Cláudia
C
Vasconcellos
Maurício Teixeira Leite de
MT
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities / Q000592:standards; D001291:Attitude of Health Personnel; D001938:Brazil; D004812:Epidemiologic Methods; D005192:Family Health; D019983:Guideline Adherence; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000592:standards*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D055815:Young Adult