Marin GH*, Marin L, Marin G, Vetere P, Rivadulla P, Giangreco L, Sbattella D, Marin C, Carlson S, Nelson AE, Martínez FL and Errecalde J
Department of Pharmacology, National University of La Plata, ArgentinaFulltext PDF
Introduction: Hypertension is responsible for most deaths or disabilities in the adult population of Argentina. The need for daily therapy reduces treatment’s adherence. In order to demonstrate whether if a model of nominal and customized health care control and personalized dispensing of anti-hypertensive drugs can increase adherence to treatment and reduce disease consequences, we proposed the present study. Materials and Methods: This is an observational cohort study, with a stage of intervention to one of the groups. Hypertensive patients treated in the public sector were randomly divided into 2 groups: Group A that continued receiving free health care controls and medication from health institutions (on "demand" way), and group B that received a nominal periodical home visits for health care controls and customized dispensing of drugs. Variables studied were age, sex, type of medication received, degree of compliance, cardiovascular events and hospitalizations occurred in both groups during the study period (2 years follow up). Results: 1,790 patients were enrolled and randomized in group A (912) or in group B (878). Both groups were balanced in age, sex, type of medication and other main variables. Periodical health controls were performed in 94.3% of patients belonging to group B and only 18.5% of group B (p<0.001). Treatment adherence was demonstrated in 96.5% of group B and 56.4% of group A. Cardiovascular events and hospitalizations over the period study they were 9.9 and 11.4% in group B and 3.7 and 4.3% in group A respectively (p<0.01). Conclusion: Comparing two different models access to health care and medicine dispensing, this study demonstrated that nominal and personalized care and drug dispensing for hypertensive patients increased more than 70% of health controls and 30% of treatment adherence and significant reduced cardiovascular consequences and hospitalizations associated with hypertension.
Hypertension; Health care; Dispense; Nominal; Customized
Rivadulla P, Giangreco L, et al. Benefits of a Nominalized Health Care Model for Socially Vulnerable Patients with High Blood Hypertension. Int J Fam Med Prim Care. 2021; 2(5): 1052..