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

Authors

DOI:

https://doi.org/10.51798/sijis.v5iSI1.761

Keywords:

high blood pressure; primary health care; patient satisfaction; quality of health care; older adult.

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.

Author Biographies

Joselin Elizabeth Serrano Aldaz, Technical University of Ambato, Ecuador

Graduate Researcher, Faculty of Health Sciences. Technical University of Ambato, Ecuador

Grace Pamela López Pérez, Technical University of Ambato, Ecuador

University Professor, Faculty of Health Sciences. Technical University of Ambato, Ecuador

References

Andersson, U., Nilsson, P. M., Kjellgren, K., Hoffmann, M., Wennersten, A., & Midlöv, P. (2023). PERson-centredness in Hypertension management using Information Technology: A randomized controlled trial in primary care. Journal of Hypertension, 41(2), 246. https://doi.org/10.1097/HJH.0000000000003322

Cruz Aranda, J. E. (2019). Manejo de la hipertensión arterial en el adulto mayor. Medicina Interna de México, 35(4), 515–524. https://doi.org/10.24245/mim.v35i4.2444

Droz, M., Senn, N., & Cohidon, C. (2019). Communication, continuity and coordination of care are the most important patients’ values for family medicine in a fee-for-services health system. BMC Family Practice, 20(1), 19. https://doi.org/10.1186/s12875-018-0895-2

Elorza, M. E., Moscoso, N. S., & Lago, F. P. (2018). Delimitación conceptual de la atención primaria de salud. Revista Cubana de Salud Pública, 43(3), 1–17. https://www.redalyc.org/articulo.oa?id=21452413011

Falcão, L. M., Guedes, M. V. C., Borges, J. W. P., & Silva, G. R. F. da. (2023). Educational intervention performed by nurses for blood pressure control: A systematic review with meta-analysis. Revista Latino-Americana de Enfermagem, 31, e3929. https://doi.org/10.1590/1518-8345.6648.3930

Giovanella, L., Mendonça, M. H. M. de, Buss, P. M., Fleury, S., Gadelha, C. A. G., Galvão, L. A. C., & Santos, R. F. dos. (2019). De Alma-Ata a Astana. Atenção primária à saúde e sistemas universais de saúde: Compromisso indissociável e direito humano fundamental. Cadernos de Saúde Pública, 35(3), e00012219. https://doi.org/10.1590/0102-311X00012219

González Rodríguez, R., & Cardentey García, J. (2018). Comportamiento de las enfermedades crónicas no transmisibles en adultos mayores. Revista Finlay, 8(2), 103–110. http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S2221-24342018000200005&lng=es&nrm=iso&tlng=es

Herrera Calderón, V. P., Lozada Lara, L. M. ., Torres Calderón, X. M. ., Alvear Arévalo , M. L., & Tapia Tapia, . N. H. (2023). Nursing care process in the treatment of hypertension induced by pregnancy. Sapienza: International Journal of Interdisciplinary Studies, 4(SI1), e23036. https://doi.org/10.51798/sijis.v4iSI1.667

Instituto Nacional De Estadística y Censos (INEC). (2022). Ecuador—Encuesta Nacional de Salud y Nutrición 2018 [Anda.inec.gob.ec]. https://anda.inec.gob.ec/anda/index.php/catalog/891/es/news-room/fact-sheets/detail/hypertension

Khan, N., Marvel, F. A., Wang, J., & Martin, S. S. (2018). Digital Health Technologies to Promote Lifestyle Change and Adherence. Current Treatment Options in Cardiovascular Medicine, 19(8), 60. https://doi.org/10.1007/s11936-017-0560-4

Leppin, A. L., Schaepe, K., Egginton, J., Dick, S., Branda, M., Christiansen, L., Burow, N. M., Gaw, C., & Montori, V. M. (2018). Integrating community-based health promotion programs and primary care: A mixed methods analysis of feasibility. BMC Health Services Research, 18(1), 72. https://doi.org/10.1186/s12913-018-2866-7

López González, E., Cabrera Macias, Y., López Cabrera, E., & Puerto Becerra, A. (2018). Calidad percibida en servicios de asistencia al adulto mayor. MediSur, 16(3), 437–463. http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1727-897X2018000300012&lng=es&nrm=iso&tlng=es

Lorenzo Díaz, J. C., Vitón Castillo, A. A., Lorenzo Díaz, J. C., & Vitón Castillo, A. A. (2020). Calidad de vida asociada a la hipertensión arterial en el adulto mayor. Revista Médica Electrónica, 42(3), 1960–1963. http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1684-18242020000301960&lng=es&nrm=iso&tlng=es

Martínez Fajardo, E. J., García Valdez, R., & Álvarez Villaseñor, A. S. (2019). Adherencia al tratamiento farmacológico en pacientes con hipertensión arterial de un consultorio auxiliar. Medicina general, 8(2), 3. http://dx.doi.org/10.24038/mgyf.2019.018

Mery, G., Majumder, S., Brown, A., & Dobrow, M. J. (2018). What do we mean when we talk about the Triple Aim? A systematic review of evolving definitions and adaptations of the framework at the health system level. Health Policy, 121(6), 629–636. https://doi.org/10.1016/j.healthpol.2017.03.014

Ministerio de Salud Pública. (2019). Hipertensión arterial: Guía de Práctica Clínica (GPC). Dirección Nacional de Normatización-MSP. https://www.salud.gob.ec/wp-content/uploads/2019/06/gpc_hta192019.pdf

Ollé Espluga, L., Vargas, I., Mogollón Pérez, A., Freitas Soares de Jesus, R. P., Eguiguren, P., Cisneros, A. I., Muruaga, M. C., Huerta, A., Bertolotto, F., & Vázquez, M. L. (2021). Care continuity across levels of care perceived by patients with chronic conditions in six Latin-American countries. Gaceta Sanitaria, 35(5), 411–419. https://doi.org/10.1016/j.gaceta.2020.02.013

Ordunez, P., Tajer, C., Gaziano, T., Rodríguez, Y. A., Rosende, A., & Jaffe, M. G. (2022). La aplicación HEARTS: Una herramienta clínica para el manejo del riesgo cardiovascular y la hipertensión en la atención primaria de salud. Revista Panamericana de Salud Pública, 46, e46. https://doi.org/10.26633/RPSP.2022.46

O’Regan, A., O’Doherty, J., O’Connor, R., Cullen, W., Niranjan, V., Glynn, L., & Hannigan, A. (2022). How do multi-morbidity and polypharmacy affect general practice attendance and referral rates? A retrospective analysis of consultations. PLOS ONE, 17(2), e0263258. https://doi.org/10.1371/journal.pone.0263258

Organización Mundial de la Salud. (2023). Hipertensión [Who.int.]. https://www.who.int/es/news-room/fact-sheets/detail/hypertension

Organización Panamericana de Salud. (2018). Salud Mental en Atención Primaria—OPS/OMS | Organización Panamericana de la Salud [Paho.org.]. https://www.paho.org/es/temas/salud-mental-atencion-primaria

Ortega, J. P. G., Ramón, S. M. Q., Astudillo, E. P. D., Ávila, S. A. S., Vásquez, X. S. S., Solórzano, G. A. G., Aponte, C. P. Z., Rogel, S. E. C., Riera, D. P. P., Sumba, D. E. P., & Panamá, J. C. P. (2021). Adherencia al tratamiento de la hipertensión arterial en adultos mayores. Revista Latinoamericana de Hipertensión, 15(5). https://doi.org/10.5281/zenodo.4484355

Peñaherrera López, L. A. (2020). "Prevalencia y factores de riesgo para hipertensión arterial en adultos mayores en áreas urbanas y rurales del cantón Ambato” [Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina]. https://repositorio.uta.edu.ec:8443/jspui/handle/123456789/31113

Podestá Gavilano, L. E., & Maceda Kuljich, M. (2018). Calidad percibida del servicio y cultura de seguridad en salud en el personal médico del Hospital II EsSalud Vitarte. Lima, 2017. Horizonte Médico (Lima), 18(3), 48–56. https://doi.org/10.24265/horizmed.2018.v18n3.08

Rocha, K. B., Rodríguez-Sanz, M., Berra, S., Borrell, C., & Pasarín, M. I. (2021). Evaluación de la atención primaria, versión modificada del instrumento PCAT-A10. Atención Primaria, 53(1), 3–11. https://doi.org/10.1016/j.aprim.2019.10.004

Rojas, N. A., Dobell, E., Lacey, B., Varona-Pérez, P., Burrett, J. A., Lorenzo-Vázquez, E., Martínez, M. C., Sherliker, P., Constantén, S. B., Rigau, J. M. M., López, O. J. H., Morales, M. Á. M., Alomá, I. A., Estupiñan, F. A., González, M. D., Muñoz, N. R., Asencio, M. C., Peto, R., Emberson, J., … Lewington, S. (2019). Burden of hypertension and associated risks for cardiovascular mortality in Cuba: A prospective cohort study. The Lancet Public Health, 4(2), e107–e115. https://doi.org/10.1016/S2468-2667(18)30210-X

Rovere, M. (2018). Atención Primaria de la Salud en Debate. Saúde em Debate, 36(94), 327–342. https://www.redalyc.org/articulo.oa?id=406341762003

Sánchez Torres, D. A. (2018). Accesibilidad a los servicios de salud: Debate teórico sobre determinantes e implicaciones en la política pública de salud*. Revista Médica del Instituto Mexicano del Seguro Social, 55(1), 82–89. https://www.redalyc.org/journal/4577/457749297021/html/

Selby, K., Zuchuat, J.-C., Cohidon, C., & Senn, N. (2018). Associations between primary care practice type and patient-reported access. BMC Health Services Research, 18(1), 779. https://doi.org/10.1186/s12913-018-3590-z

Taype Huamaní, W., Chucas Asencio, L., Cruz Rojas, L. D. L., & Amado Tineo, J. (2019). Tiempo de espera para atención médica urgente en un hospital terciario después de implementar un programa de mejora de procesos. Anales de la Facultad de Medicina, 80(4), Article 4. https://doi.org/10.15381/anales.v80i4.16705

Yépez Chamorro, M. C., Ricaurte Cepeda, M., & Jurado, D. M. (2018). Calidad percibida de la atención en salud en una red pública del municipio de Pasto, Colombia. Universidad y Salud, 20(2), 97–110. http://dx.doi.org/10.22267/rus.182002.114

Downloads

Published

2024-05-01

How to Cite

Serrano Aldaz, J. E., & López Pérez, G. P. (2024). Perceived quality of care in patients with high blood pressure in primary health care. Sapienza: International Journal of Interdisciplinary Studies, 5(SI1), e24S01. https://doi.org/10.51798/sijis.v5iSI1.761