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ISSN 2221-2434 (Electronic)

2013, Number 3

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Finlay 2013; 3 (3)

Quality of Care for Patients with Acute Myocardial Infarction. Cienfuegos 2011

Delgado AHM, Pedraza AD, Valladares CFJ, Lastre NK, Hernández TL, Ávila PD

Language: Spanish
References: 12
Page: 172-182
PDF size: 195.17 Kb.


ABSTRACT

Background: assessment is a tool to improve quality of patient care.
Objective: to assess the quality of care for patients with acute myocardial infarction admitted to the Gustavo Aldereguía Lima Hospital in Cienfuegos in June 2011.
Methods: a research was conducted in health systems and services in which the following variables were analyzed: structures (human and material resources), processes (compliance with care protocols) and results (impact on mortality). A formulary was applied to 22 patients; an observation guide was used to assess the existence of the human and material resources required for providing hospital care. Data were processed using SPSS 15,0 and they were expressed in absolute values and percentages.
Results: concerning structure, there were enough essential material resources for providing medical care; problems with nursing staffing in the Cardiology Service were found. In pre-hospital care, difficulties were related to delayed presentation to consultation, aspirin prescriptions and non-performance of thrombolysis. In post-hospital care, most problems were in rehabilitation and modification of associated risk factors. In the hospital, there were difficulties in conducting ergometer tests at discharge and referring patients for rehabilitation in the health area.
Conclusions: there are difficulties in quality of patient care that become more evident in primary health care.


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