Inequalities in prescription of hydrochlorothiazide for diabetic hypertensive patients in Colombia
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad Nacional de Colombia
2011
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| _version_ | 1876465511076724736 |
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| author | Análida Pinilla |
| author_facet | Análida Pinilla |
| contents | Inequalities in prescription of hydrochlorothiazide for diabetic hypertensive patients in Colombia Análida Pinilla Nairo Cano Carlos Granados Carol Paez-Canro Javier Eslava-Schmalbach Salud Thiazide health service clinical protocol Objective Evaluating differences in the suitable prescription of thiazides in hypertense patients, according to affiliation regime. Materials and methods This was an analytical cross-sectional study. The database from a previous study was used regarding two groups of hypertense patients (subsidised regime and contributory regime) who had attended out-patient consultation between 01-09-2007 and 29-02-2008. Ideal therapy was evaluated in both groups. Univariate and multivariate analysis was carried out. Results 136 patients (contributory: 41.9 %; subsidised: 58.1 %). Subsidised regime patients were older (mean=68.8±10) than those from the contributory regime (mean=64.1±11.1) (t-test, p=0.0110). Prescribing antihypertensive drugs was ideal in 49/136 of the patients (36.0 %). Ideal prescription accounted for 24/79 (30 %) of the patients in the subsidised regime and 25/57 (43.8 %) in the contributory one (OR=1.79; 95 % CI:0.88-3.64). Older people (aged ≥ 65yo) were at risk of receiving a non-ideal prescription (OR=2.12; 95 %CI:1.02-4.38) whilst this was not so in the subsidised regime (OR=1.62; 95 % CI:0.78-3.35). Conclusions Ideal prescription of antihypertensive drugs was low in the population being studied. There were differences regarding age ideal prescription but not concerning affiliation regime. It is suggested that a longitudinal study be carried out in the future. 2011 artículo científico 0124-0064 https://www.redalyc.org/articulo.oa?id=42219906003 en http://www.redalyc.org/revista.oa?id=422 Revista de Salud Pública application/pdf Universidad Nacional de Colombia Revista de Salud Pública (Colombia) Num.1 Vol.13 |
| format | Artículo científico |
| id | redalyc_42219906003 |
| institution | Redalyc |
| language | en |
| publishDate | 2011 |
| publisher | Universidad Nacional de Colombia |
| spellingShingle | Inequalities in prescription of hydrochlorothiazide for diabetic hypertensive patients in Colombia Análida Pinilla Salud Thiazide health service clinical protocol Inequalities in prescription of hydrochlorothiazide for diabetic hypertensive patients in Colombia Análida Pinilla Nairo Cano Carlos Granados Carol Paez-Canro Javier Eslava-Schmalbach Salud Thiazide health service clinical protocol Objective Evaluating differences in the suitable prescription of thiazides in hypertense patients, according to affiliation regime. Materials and methods This was an analytical cross-sectional study. The database from a previous study was used regarding two groups of hypertense patients (subsidised regime and contributory regime) who had attended out-patient consultation between 01-09-2007 and 29-02-2008. Ideal therapy was evaluated in both groups. Univariate and multivariate analysis was carried out. Results 136 patients (contributory: 41.9 %; subsidised: 58.1 %). Subsidised regime patients were older (mean=68.8±10) than those from the contributory regime (mean=64.1±11.1) (t-test, p=0.0110). Prescribing antihypertensive drugs was ideal in 49/136 of the patients (36.0 %). Ideal prescription accounted for 24/79 (30 %) of the patients in the subsidised regime and 25/57 (43.8 %) in the contributory one (OR=1.79; 95 % CI:0.88-3.64). Older people (aged ≥ 65yo) were at risk of receiving a non-ideal prescription (OR=2.12; 95 %CI:1.02-4.38) whilst this was not so in the subsidised regime (OR=1.62; 95 % CI:0.78-3.35). Conclusions Ideal prescription of antihypertensive drugs was low in the population being studied. There were differences regarding age ideal prescription but not concerning affiliation regime. It is suggested that a longitudinal study be carried out in the future. 2011 artículo científico 0124-0064 https://www.redalyc.org/articulo.oa?id=42219906003 en http://www.redalyc.org/revista.oa?id=422 Revista de Salud Pública application/pdf Universidad Nacional de Colombia Revista de Salud Pública (Colombia) Num.1 Vol.13 |
| title | Inequalities in prescription of hydrochlorothiazide for diabetic hypertensive patients in Colombia |
| topic | Salud Thiazide health service clinical protocol |
| url | https://www.redalyc.org/articulo.oa?id=42219906003 |