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

ABSTRACT

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.

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