HYPERTENSIVE PATIENTS WITH ADEQUATE MONITORING: TRENDS FROM 2017 TO 2020 IN PORTUGAL
DOI:
https://doi.org/10.58043/rphrc.44Keywords:
COVID-19, Hypertension, Monitoring, Portugal, PandemicAbstract
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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