Atencion primaria
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Multicenter Study
[Validation of a prognostic model for polypathological patients (PP) in Primary Health Care: "PROFUND STUDY-AP"].
to validate the PROFUND index in PP in Primary Health Care (PHC). ⋯ The PROFUND index is a good indicative tool in the stratification of 2-year mortality risk polypathological patients in PHC.
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Randomized Controlled Trial Comparative Study
[The PROPRESE trial: results of a new health care organizational model in primary care for patients with chronic coronary heart disease based on a multifactorial intervention].
Comparison of the results from the EUROASPIRE I to the EUROASPIRE III, in patients with coronary heart disease, shows that the prevalence of uncontrolled risk factors remains high. The aim of the study was to evaluate the effectiveness of a new multifactorial intervention in order to improve health care for chronic coronary heart disease patients in primary care. ⋯ An intervention based on models for chronic patients focused in primary care and involving patients in medical decision making improves cardiovascular risk factors control (smoking, LDL-C and SBP). Chronic care strategies may be an efficacy tool to help clinicians to involve the patients with a diagnosis of CHD to reach better outcomes.
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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.