Analysis of defects of treatment in hypertensive patients

Г. Ю. Сазанова

Authors: G.Yu. Sazanova

Place: Saratov, Russia

Institution: Saratov State Medical University

Abstract: objective. To estimate the adherence and performance of health care standards (treatment and medicamental components) in patients with essential hypertension at different levels of medical care delivery. Design and methods. The analysis was carried out by evaluation of the ratio between actual implementation of medical procedures and prescriptions and the rate recommended by the standards according to primary medical documentation. Content analysis, analytical and statistical methods were applied. Results. Out of 46 (100 %) medical parameters 67 % were implemented in city hospitals, 70 % — in the District Hospital, 87 % — in regional and federal medical organizations with varying frequency. None of recommended medications was prescribed with a recommended frequency. conclusions. Non-compliance with the standard recommendations for hypertensive patients is found at all levels of health care system, in particular, non-adherence with the prescription rate of recommended medications and frequency of medical procedures implementation.  

Keywords: medical care, standard, arterial hypertension

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