• 作者：Miguel 脕ngel Royo-Bordonada ; Jos茅 Maria Lobos ; Carlos Brotons ; Fern ; o Villar ; Carmen de Pablo ; Pedro Armario ; Olga Cort茅s ; Antonio Gil Nu帽ez ; 脕ngel Lizcano ; Ana de Santiago ; Susana Sans ; en nombre del Comit茅 Espa帽ol Interdisciplinario de Prevenci贸n Cardiovascular (CEIPC)
• 关键词：Prevenció ; n cardiovascular ; Riesgo cardiovascular ; Calidad asistencial
• 刊名：Medicina Clínica
• 出版年：7 January, 2014
• 年：2014
• 卷：142
• 期：1
• 页码：7-14
• 全文大小：321 K

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.