Atencion primaria
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Comparative Study Observational Study
[Comparison of level of satisfaction of users of home care: integrated model vs. dispensaries model].
To determine the level of satisfaction of users that receive home health care through two different models of primary health care: integrated model and dispensaries model. ⋯ The user satisfaction rate of the home care by primary health care seems to depend of the typical characteristics of each organisational model. The dispensaries model shows a higher rate of satisfaction or perceived quality of care in all the aspects analysed. More studies are neede to extrapolate these results to other primary care centers belonging to other institutions.
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Letter Case Reports
[Acute pancreatitis in a patient treated with losartan].
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Multicenter Study
[Implantation of a program for polymedicated patients within the framework of the Galician Strategy for Integrated Chronic Care].
A total of 22.8% of citizens in Galicia are older than 65 years and, compared with the Spanish population as a whole, they represent a more elderly population with a higher prevalence of chronic diseases. The SERGAS 2014 strategy and the Galician Strategy for Integrated Chronic Care envision the development of a specific program to improve the health and quality of life of older polymedicated patients. ⋯ The program to improve the quality of care provided to chronic polymedicated patients in Galicia is a timely and necessary initiative, given the high percentage of the population with multiple comorbidities receiving polymediation. The program has clear benefits: the quality of prescription and patient safety improved due to the reduction in the number of medications administered and the detection of potentially inappropriate prescriptions.
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To determine the utility and viability of a chronic care program. ⋯ When assessing the utility of CRONIGICAT, we believe that progress has been made mainly in its implantation, which has acted as a catalyst for a self-directed shift to a better chronic care model and has identified areas for improvement. We believe that the CRONIGICAT is viable and sustainable, since its actions and projects are integrated within routine clinical practice.