Atencion primaria
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Multicenter Study
[Objective KONTROL study: therapeutic inertia in hypertensive patients attended in primary care of Spain].
To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC). ⋯ The results of the study indicate that there is TI in 7 out every 10 visits made by hypertensive patients in Primary care. There are significant differences as regards the clinical characteristics of the patients and of the doctors.
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There is high prevalence of major cardiovascular risk factors (MCVRF) in Spain, equal or greater than the rest of the countries in Europe, with a tendency to increase, while the their control is in general sub-optimal. In the clinical setting, and in Primary Care clinics in particular, preventive activities and early detection (screening) of MCVRF that are well established by the scientific evidence should be carried out. ⋯ The concept of overall focus on cardiovascular risks can obtain a reduction of the risk by the synergetic action on the different MCVRF in each individual case. The aim must be to reduce the probability of having a cardiovascular disease in the future, as well as the loss in quality of life, incapacity and associated mortality.
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To determine which medical journals are read by Primary Care doctors, their language preferences, publication format and the ways of accessing them. ⋯ The publications in Spanish are used as the preferred sources of information by a high percentage of Primary Care physicians. These professionals believe that Spanish-language databases make it easier to access these publications, and are useful and necessary for professional practice.