Perceived quality of care in patients with high blood pressure in primary health care

Joselin Elizabeth Serrano Aldaz, Grace Pamela López Pérez
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Abstract

Background: the study analyzed the quality of care perceived by patients with high blood pressure in a health center in Ecuador, considering dimensions such as accessibility, opportunity, continuity, comprehensiveness, and cultural competence of the services. Hypertension in older adults represents a public health problem in the region. Objective: To analyze the quality of care perceived in patients with Arterial Hypertension in Primary Health Care. Methods: quantitative, transversal, and descriptive design. The sample was 40 patients over 65 years of age with HTN. A validated 10-item questionnaire was applied to perceived quality in several dimensions: accessibility, opportunity, continuity, comprehensiveness, and cultural competence. Results: limitations were evident in the capacity to respond to urgent needs, lack of continuity in care by the same professional, deficiencies in mental health counseling, and moderate dissatisfaction with services. Conclusions: there are significant gaps in the quality of primary care for hypertensive patients regarding accessibility, opportunity, comprehensiveness, and cultural competence. Improvements are required in these areas to ensure more responsive and patient-centered care.
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高血压患者对初级医疗保健护理质量的认知
背景:该研究分析了厄瓜多尔一家医疗中心的高血压患者所感受到的医疗质量,考虑了服务的可及性、机会、连续性、全面性和文化能力等方面。老年人高血压是该地区的一个公共卫生问题。目的分析动脉高血压患者在初级医疗保健中感受到的护理质量。方法:定量、横向和描述性设计。样本为 40 名 65 岁以上的高血压患者。采用经过验证的 10 个项目的调查问卷,从可及性、机会、连续性、全面性和文化胜任能力等几个方面进行质量感知。结果:在应对紧急需求的能力、同一专业人员提供的护理缺乏连续性、心理健康咨询不足以及对服务的中度不满意等方面存在明显的局限性。结论:为高血压患者提供的初级医疗服务在可及性、机会、全面性和文化能力方面存在明显差距。需要在这些方面加以改进,以确保提供更加及时和以患者为中心的医疗服务。
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