Sistema de protección social en salud y calidad de la atención de hipertensión arterial y diabetes mellitus en centros de salud

Abstract

Objective: To assess health care quality provided to type-2 diabetic and hypertensive patients in primary care settings from the Mexican Ministry of Health and to evaluate whether accredited clinics providing services to the Mexican Seguro Popular performed better in terms of metabolic control of those patients compared to the non-accredited. Material and Methods: Cross-sectional study performed on 2008. Previous year clinical measures were obtained from 5 444 diabetic and 5 827 hypertensive patient's clinical records. Adequate metabolic control (glucose <110 mg/dl for diabetes and blood pressure <140/90 mmHg for hypertension) associated factors were assessed by multiple-multilevel logistic regression methods. Results: Patients attending accredited clinics were more likely to be controlled, however, metabolic control was not constant over time of accreditation. Conclusions: Additional efforts are required to monitor accredited clinics' performance in order to maintain both metabolic control and clinical assessment of patients.