Cadernos de Saúde Pública
On-line version ISSN 1678-4464
LIMA, Sheyla Maria Lemos et al. Use of clinical guidelines and the results in primary healthcare for hypertension. Cad. Saúde Pública [online]. 2009, vol.25, n.9, pp. 2001-2011. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2009000900014.
This study aimed to identify strategies to implement clinical guidelines for hypertension in a primary healthcare unit, focusing on the effects of the Family Health Program (FHP) and government Pharmaceutical Home Delivery Program (PHDP) on adherence to guidelines by health professionals and the results of care. The data were obtained from a registry of 5,499 hypertensive patients, stratified according to registration in the FHP and PHDP. The random selection procedure resulted in samples of 150 patient charts in three strata and one stratum (without the FHP or PHDP) with only 22 patient charts. Descriptive statistics and linear regression models were obtained, incorporating the structural information from the sample design (sample strata and weight). Based on information recorded on the patient charts, adherence to clinical guidelines was extremely low. A positive effect had been expected from the FHP and PHDP in terms of adherence to clinical guidelines and results of care. A trend towards a positive effect was observed for the PHDP and a slightly favorable performance for the FHP for adherence to clinical guidelines.
Keywords : Practice Guideline; Hyperternsion; Primary Health Care; Family Health Program.