Fundaments: non-compliance is a frecuent cause of medical actions 'failure, being the absence to periodical controls a very important form of the same. Objective: to know the non-compliance degree to arrange appointments of patients with arterial hypertension and the factors involve in it. Design: observational, analitical. Materials and methods: it was included all patients with controlled arterial hypertension in arrange appointments and were followed during one year. It was considered as a non-compliant those patients who did not attend to more than 20% of the arrange appointments. In case of not attendance, we called the patient by telephone to make a new appointment. Results: it was included 129 patients (the mean was 7.3 controls in a year). There were 11.2% non-compliance to the clinics and 24.8% were non-compliant, although 51.2% did not attend to any appointments. Men were more non-compliant than women (36.2 vs 18.3%) and people below 50 years old (66. 7% non-compliant). It was not observe differences in relation with cultural level, civil state or work situation, but there were differences related with cohabitation (45. 5% lived alone vs 20.2% and 22.2% if they lived in family or with another people). Previous non-compliant patients were also more non-compliant (34.5 vs 16.9%) It was not found any differences in compliance depending on clinic, the appointment's time, interval between the appointments or distance since the latest on-demand clinic. Conclusions: it does not exist a clear type of non-compliant hypertensive patient to regular controls, but it would probably have to be alert and take anticipatory actions in young men and patients with previous non compliance appointments.
Factores relacionados con el incumplimiento a citas concertadas de un grupo de pacientes hipertensos
R. Orueta,R. Gómez-Calcerrada,S. Redondo,M. Soto,G. Alejandre,J. López
Published 2001 in Medifam
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- Publication year
2001
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Medifam
- Publication date
2001-03-01
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Medicine
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