Resumen

DELGADO ACOSTA, Hilda et al. Quality of Care for Patients with Acute Myocardial Infarction. Cienfuegos 2013. Rev. Finlay [online]. 2016, vol.6, n.1, pp.3-11. ISSN 2221-2434.

Background: is a priority of the National Health System providing quality care to patients with acute myocardial infarction. Objective: to assess medical care to patients with acute myocardial infarction admitted to the Dr. Gustavo Aldereguía Lima Hospital in Cienfuegos in June 2013 to compare the results with previous assessments. Methods: a research on health systems and services was conducted. The variables used were related to the structure (human and material resources), processes (compliance with established care protocols) and results (topography of infarction, hospital stay and impact on mortality). A questionnaire was applied to 20 patients admitted with the diagnosis of acute infarction during the study period. An observation guide was also used. Data were processed using the SPSS 15.0 program and expressed in absolute values and percentages. Results: male patients predominated in the series studied and the most common risk factors were hypertension in 50 % of cases, smoking in 45 % and diabetes mellitus in 25 %. Difficulties with medical and nursing staffing were detected in the emergency department and cardiology ward, respectively. There were difficulties in the use of beta blockers and aspirin in prehospital care, especially in patients with non- ST- segment elevation acute coronary syndromes. Early arrival at the medical services led to greater opportunity to perform a thrombolysis. There were no deaths. Conclusions: although results we better in comparison with the assessment of 2011, there are still gaps in care provided to these patients.

Palabras clave : medical care; quality of medical care; health research evaluation; acute myocardial infarction.

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