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Medifam

versión impresa ISSN 1131-5768

Resumen

ORUETA, R. et al. Related factors with non-compliance to arrange appointments of a group of hypertensive patients. Medifam [online]. 2001, vol.11, n.3, pp.52-66. ISSN 1131-5768.

Fundaments: non-compliance is a frecuent cause of medical actions´failure, being the absence to periodical controls a very important form of the same.  Objective: to know the non-compliance degree to arrange appointments of patients with arterial hypertension and the factors involve in it.  Design: observational, analitical.  Materials and methods: it was included all patients with controlled arterial hypertension in arrange appointments and were followed during one year. It was considered as a non-compliant those patients who did not attend to more than 20% of the arrange appointments. In case of not attendance, we called the patient by telephone to make a new appointment.  Results: it was included 129 patients (the mean was 7.3 controls in a year). There were 11.2% non-compliance to the clinics and 24.8% were non-compliant, although 51.2% did not attend to any appointments.  Men were more non-compliant than women (36.2 vs 18.3%) and people below 50 years old (66.7% non-compliant). It was not observe differences in relation with cultural level, civil state or work situation, but there were differences related with cohabitation (45.5% lived alone vs 20.2% and 22.2% if they lived in family or with another people). Previous non-compliant patients were also more non-compliant (34.5 vs 16.9%).  It was not found any differences in compliance depending on clinic, the appointment´s time, interval between the appointments or distance since the latest on-demand clinic.  Conclusions: it does not exist a clear type of non-compliant hypertensive patient to regular controls, but it would probably have to be alert and take anticipatory actions in young men and patients with previous non compliance appointments

Palabras clave : Arrange appointments; Non-compliance; Hypertension.

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