scholarly journals Screening of peripheral arterial disease in primary health care

2019 ◽  
Vol Volume 15 ◽  
pp. 355-363 ◽  
Author(s):  
Zsombor Tóth-Vajna ◽  
Gergely Tóth-Vajna ◽  
Zsuzsanna Gombos ◽  
Brigitta Szilágyi ◽  
Zoltán Járai ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Primary Health ◽  
Peripheral Arterial

scholarly journals Gender Differences in the Medical Treatment of Peripheral Artery Disease

2021 ◽  
Vol 10 (13) ◽  
pp. 2855
Author(s):  
Damien Lanéelle ◽  
Gabriella Sauvet ◽  
Jérôme Guillaumat ◽  
Jean Eudes Trihan ◽  
Guillaume Mahé
Keyword(s):  
Peripheral Arterial Disease ◽  
Medical Treatment ◽  
Peripheral Artery Disease ◽  
Severe Disease ◽  
Arterial Disease ◽  
Peripheral Artery ◽  
Primary Health ◽  
Cardiovascular Morbidity And Mortality ◽  
Artery Disease ◽  
Peripheral Arterial

Background/Objectives: Peripheral arterial disease is a frequent and severe disease with high cardiovascular morbidity and mortality. However, female patients appear to be undertreated. Objectives: The primary goal was to compare the prescription of optimal medical treatment (OMT) of peripheral arterial disease between women and men in primary health care. Material and methods: An observational retrospective study was based on the data collected from general practitioners (GP) office in Brittany. Results: The study included 100 patients, aged 71 ± 10 years old, with 24% of women. Compared to men, women received the OMT less frequently (29.2% vs. 53.9%, p = 0.038), especially after 75 years old. Antiplatelet therapy was largely prescribed (100%), statins less frequently (70.8% women vs. 85.5% men), and prescription of renin-angiotensin-aldosterone system inhibitors was still not optimal in the two genders (41.7% women vs. 61.9% men). Active smoking is important for both women and men (33% and 30% respectively). Conclusion: Optimal medical treatment of peripheral artery disease is insufficiently prescribed, especially in women in this region of France.

scholarly journals Analysis of satisfaction with the accessibility and quality of primary health care for patients with pathology of lower limb arteries

2020 ◽  
Vol 101 (1) ◽  
pp. 73-79
Author(s):  
V A Pogosyan ◽  
D O Mikhaylova
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Lower Limb ◽  
Lower Extremities ◽  
Arterial Disease ◽  
Lower Limbs ◽  
Place Of Residence ◽  
Primary Health

Aim. To study the opinion of the population about satisfaction with the accessibility and quality of primary health care for diseases of the arteries of the lower extremities in institutions of the Sverdlovsk region, as well as to identify problems in the organization of its provision. Methods. From January to June 2019, an anonymous survey of 384 patients with diseases of the arteries of the lower extremities who applied for a consultative appointment with a cardiovascular surgeon at the clinic of the Sverdlovsk Regional Clinical Hospital No. 1 was carried out. A representative sample was determined by formulae, in which, out of the general population the number of registered cases of arterial disease of the lower limbs in the Sverdlovsk region, was acceptable. The survey involved 301 (78.4%) men and 83 (21.6%) women. Results. More than 90% of respondents were over 50 years old. More than 35% of respondents expected a referral for a consultation with a specialist later than 1 month away. The accessibility and timeliness of obtaining specialized medical care were influenced by the geographical remoteness from the regional center. The presence of queues in outpatient clinics at the place of residence, the difficulty in obtaining a coupon for an appointment with a doctor, the inaccessibility of free research, as well as the inconvenient work schedule of specialist doctors were the main reasons for not obtaining medical care. When examined in the clinic at the place of residence, more than half of the respondents used their own money. Just over a third of patients (35.2%) thought that the level of medical care has improved over the past decade, 19.5% thought that it had become worse, 16.4% that it had not changed, and 28.9% found it difficult to answer. About half of the respondents (48.8%) were satisfied with the result of the medical care provided, 11.2% were not satisfied, and 40% of the patients found it difficult to answer. Conclusion. The shortcomings identified in the organization of outpatient care in medical institutions of the Sverdlovsk region indicate the need to improve primary health care for patients with lower limb arterial disease. Such improvements will achieve the goals and objectives of the National Healthcare project through the development of telemedicine technologies and the development of organizational and functional patient routing models, standard operating procedures for examining more patients with cardiovascular pathology by primary care physicians, and their active introduction into public health practice.

Increased health care utilization by patients with peripheral arterial disease in primary care: data from the CONTENT study

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 228-234 ◽  
Author(s):  
Müller-Bühl ◽  
Szecsenyi ◽  
Laux
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Peripheral Arterial Disease ◽  
Health Care Utilization ◽  
Vascular Disease ◽  
Arterial Disease ◽  
Research Network ◽  
Matched Pair ◽  
Care Utilization ◽  
Peripheral Arterial

Background: Due to demography the proportion of elderly patients with peripheral arterial disease (PAD) in primary care settings is continuously growing. The study aimed to compare general practitioner care of patients with PAD with those without PAD. Patients and methods: The analyzed data are derived from the general practice morbidity research network CONTENT (CONTinuous morbidity registration Epidemiologic NETwork). A sample of 480 patients with ensured PAD diagnosis was extracted from a total of 89516 steadily registered primary care patients. Matched pair analysis with the propensity score was used statistically to compare the data of each PAD patient with data of three associated control patients. Results: During a two-year period, PAD patients had significantly more consultations (20.1 vs. 18.0; p < 0.0001), more referrals to specialists (5.5 vs. 3.5; p < 0.0001) and a higher rate of hospitalization (0.3 vs. 0.1; p < 0.0001) than corresponding controls. The analysis of reasons for doctor-patient encounters showed a significantly higher number of disordered sleep, alcohol abuse, dyspnea and tobacco abuse among PAD patients compared to patients without PAD. The ranking of the most frequent reasons for referral to specialists suggested significantly more diagnoses related to cardiovascular disease in PAD patients. In the PAD cases, 20.4 % of all inpatient treatments were related to complications of the vascular disease, whereas no patient of the control group had to be hospitalized due to vascular disease problems. Conclusions: The CONTENT episode-based registration presents a realistic and detailed picture of health care utilization of PAD patients. They overuse medical services in primary care compared to corresponding unaffected patients. This is associated with deficits in their life-style behavior, increased cardiovascular morbidity and increased inpatient care.

scholarly journals Estimated annual health care expenditures in individuals with peripheral arterial disease

2018 ◽  
Vol 67 (2) ◽  
pp. 558-567 ◽  
Author(s):  
Rebecca E. Scully ◽  
Dean J. Arnaoutakis ◽  
Ann DeBord Smith ◽  
Marcus Semel ◽  
Louis L. Nguyen
Keyword(s):  
Health Care ◽  
Peripheral Arterial Disease ◽  
Health Care Expenditures ◽  
Arterial Disease ◽  
Peripheral Arterial
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