QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE
The Ministry of Health, through a Program called “Remediar” and with the participation of 24 Schools of Medicine, is implementing a Training Program on Rational Therapeutics in Primary Health Care intended for doctors working in the fi rst level of care. In the Course on Absolute Cardiovascular Dise...
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| Autores principales: | , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
2015
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/RSD/article/view/11939 |
| Aporte de: |
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I10-R360-article-11939 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-360 |
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Revista de Salud Pública |
| language |
Español |
| format |
Artículo revista |
| topic |
Cardiovascular disease risk Program “Remediar” Primary Health Care Riesgo Cardiovascular Programa Remediar Atención Primaria de la Salud |
| spellingShingle |
Cardiovascular disease risk Program “Remediar” Primary Health Care Riesgo Cardiovascular Programa Remediar Atención Primaria de la Salud Fernández Prieto, A. Gaglio, R. Monsalvo, M. Rezzonico, G. Galli, A. Cerezo, L. QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE |
| topic_facet |
Cardiovascular disease risk Program “Remediar” Primary Health Care Riesgo Cardiovascular Programa Remediar Atención Primaria de la Salud |
| author |
Fernández Prieto, A. Gaglio, R. Monsalvo, M. Rezzonico, G. Galli, A. Cerezo, L. |
| author_facet |
Fernández Prieto, A. Gaglio, R. Monsalvo, M. Rezzonico, G. Galli, A. Cerezo, L. |
| author_sort |
Fernández Prieto, A. |
| title |
QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE |
| title_short |
QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE |
| title_full |
QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE |
| title_fullStr |
QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE |
| title_full_unstemmed |
QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE |
| title_sort |
qualitative study: the use of the guidelines for the assessment of absolute cardiovascular disease risk in clinical pracice |
| description |
The Ministry of Health, through a Program called “Remediar” and with the participation of 24 Schools of Medicine, is implementing a Training Program on Rational Therapeutics in Primary Health Care intended for doctors working in the fi rst level of care. In the Course on Absolute Cardiovascular Disease Risk (ACVDR), the use of WHO Guidelines for the Assessment of Risk adapted for Argentina is promoted. Objective: To present the results of a qualitative study enquiring professionals who attended the course, regarding the knowledge and use of the Guidelines. Material and Method: Semi-structured deep interviews to explore dimensions such as patient-doctor relationship, the approach to people with cardiovascular disease risk and the factors involved in the process of patient care. Population: Doctors who work in Health Centers in the provinces of Catamarca and La Rioja and took the course on ACVDR. Results: Interviews took place between September and December 2013. Twenty professionals from La Rioja took the course and thirty-one from Catamarca; fi ve interviews were conducted in each province. Professionals said that the training received had an impact on clinical practice and that the use of the Guidelines simplifi es and improves the treatment of patients with risk factors, giving them security and reducing variability in clinical practice. They also stated that the use of the Guidelines makes communication easier and helps the patients to get involved in their own treatment. Conclusions: The Course has motivated professionals to use the Guidelines in their daily clinical practice. However, different shades where observed regarding the use of this tool. Along these lines, the use of the Guidelines can be encouraged or hampered by factors beyond training, among which institutional factors stand out. It would be convenient to extend the study including professionals from other provinces. |
| publisher |
Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC |
| publishDate |
2015 |
| url |
https://revistas.unc.edu.ar/index.php/RSD/article/view/11939 |
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I10-R360-article-119392025-04-03T12:06:46Z QUALITATIVE STUDY: THE USE OF THE GUIDELINES FOR THE ASSESSMENT OF ABSOLUTE CARDIOVASCULAR DISEASE RISK IN CLINICAL PRACICE Estudio cualitativo: uso de la guía para la estimación del riesgo cardiovascular global en la práctica clínica PESQUISA QUALITATIVA: USO DOS GUIAS PARA A ESTIMATIVA DE RISCO CARDIOVASCULAR GLOBAL NA PRÁ- TICA CLÍNICA Fernández Prieto, A. Gaglio, R. Monsalvo, M. Rezzonico, G. Galli, A. Cerezo, L. Cardiovascular disease risk Program “Remediar” Primary Health Care Riesgo Cardiovascular Programa Remediar Atención Primaria de la Salud The Ministry of Health, through a Program called “Remediar” and with the participation of 24 Schools of Medicine, is implementing a Training Program on Rational Therapeutics in Primary Health Care intended for doctors working in the fi rst level of care. In the Course on Absolute Cardiovascular Disease Risk (ACVDR), the use of WHO Guidelines for the Assessment of Risk adapted for Argentina is promoted. Objective: To present the results of a qualitative study enquiring professionals who attended the course, regarding the knowledge and use of the Guidelines. Material and Method: Semi-structured deep interviews to explore dimensions such as patient-doctor relationship, the approach to people with cardiovascular disease risk and the factors involved in the process of patient care. Population: Doctors who work in Health Centers in the provinces of Catamarca and La Rioja and took the course on ACVDR. Results: Interviews took place between September and December 2013. Twenty professionals from La Rioja took the course and thirty-one from Catamarca; fi ve interviews were conducted in each province. Professionals said that the training received had an impact on clinical practice and that the use of the Guidelines simplifi es and improves the treatment of patients with risk factors, giving them security and reducing variability in clinical practice. They also stated that the use of the Guidelines makes communication easier and helps the patients to get involved in their own treatment. Conclusions: The Course has motivated professionals to use the Guidelines in their daily clinical practice. However, different shades where observed regarding the use of this tool. Along these lines, the use of the Guidelines can be encouraged or hampered by factors beyond training, among which institutional factors stand out. It would be convenient to extend the study including professionals from other provinces. El Ministerio de Salud, a través del Programa Remediar y con la participación de 24 Facultades de Medicina, implementa un Programa de Capacitación en Terapéutica Racional de Atención Primaria de la Salud (TRAPS) destinado a médicos/as que se desempeñan en el primer nivel de atención (PNA). En el Curso sobre Riesgo Cardiovascular Global (RCVG) se promueve la utilización de la Guía de la OMS adaptada para Argentina para la estimación del riesgo. Objetivo. Presentar los resultados de un estudio cualitativo que indaga, entre los profesionales que habían asistido al curso, el conocimiento y la utilización de la Guía. Material y Método. Entrevistas en profundidad semiestructuradas a través de las cuales se exploran dimensiones tales como la relación médico paciente, el abordaje de personas con riesgo cardiovascular y los factores institucionales que intervienen en el proceso de atención. Población: médicos/as que se desempeñan en Centros de Salud en las provincias de Catamarca y La Rioja y, que realizaron el Curso en RCVG. . Resultados. Las entrevistas se realizaron entre septiembre y diciembre de 2013. En La Rioja se capacitaron 20 profesionales y en Catamarca 31. En cada una de las jurisdicciones se realizaron 5 entrevistas. Los profesionales sostienen que la capacitación recibida impactó en la práctica clínica y que el uso de la Guía simplifi ca y mejora el tratamiento de personas con factores de riesgo otorgándoles seguridad y reduciendo la variabilidad en la práctica clínica. También señalaron que el uso de la Guía facilita la comunicación y contribuye a que el paciente se involucre en su propio tratamiento. Conclusiones. El Curso motivó a los profesionales en el uso de la Guía en su práctica clínica cotidiana. No obstante, se identifi caron matices en la utilización de la herramienta. En este sentido, la utilización de la Guía también puede verse incentivada u obstaculizada por factores que van más allá de la capacitación, entre los que se destacan los factores institucionales. Sería conveniente ampliar el estudio incluyendo profesionales de otras jurisdicciones. O Ministério da Saúde, por meio do Programa “Remediar” e com a participação de 24 Faculdades de Medicina, implementa um Programa de Treinamento sobre Terapêutica Racional de CuIdados Primários da Saúde (TRAPS) para médicos as que servem no primeiro nível de cuidados (PNA). No curso sobre Risco Cardiovascular Global (RCVG) é promovida a utilização do Guia da OMS adaptado para a Argentina para a estimativa de risco. Escopo: Apresentar os resultados de um estudo qualitativo que questiona, entre os profi ssionais que participaram do curso, sobre o conhecimento e o uso do Guia. Material e métodos: Entrevistas em profundidade semi-estruturadas, através das quais são pesquisadas as dimensões, tais como relação médico-paciente, a abordagem de pessoas com risco cardiovascular e dos fatores institucionais envolvidos no processo dos cuidados População: Médicos que trabalham em centros de saúde nas províncias de Catamarca e La Rioja, e que fi zeram o curso em RCVG. . Resultados: As entrevistas foram realizadas entre setembro e dezembro de 2013. Em La Rioja, 20 profi ssionais foram treinados, e 31, em Catamarca,. Em cada uma das jurisdi- ções foram concretizadas 5 entrevistas. Os profi ssionais afi rmam que a formação recebida impactou na prática clínica e que o uso do Guia simplifi ca e melhora o tratamento de pessoas com fatores de risco de segurança e reduzir a variabilidade na prática clínica. Também observaram que o uso do Guia facilita a comunicação e ajuda o paciente para se envolver no seu próprio tratamento. Conclusões: O curso motivou os profi ssionais no uso do Guia na sua prática clínica diária. Contudo, matizes foram identifi cados no uso da ferramenta. Nesse sentido, o uso do Guia também pode ser encorajado ou difi cultado por fatores que vão além da formação, dentre os quais fazem destaque os fatores institucionais Seria conveniente fazer com que o estudo seja mais abrangente, incluindo profi ssionais de outras jurisdições. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2015-08-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/11939 10.31052/1853.1180.v19.n2.11939 Revista de Salud Pública; Vol. 19 Núm. 2 (2015); 42-53 1852-9429 1853-1180 10.31052/1853.1180.v19.n2 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/11939/12285 Derechos de autor 2015 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |