<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662020000400008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Brechas en la atención de personas hipertensas en el Policlínico &#8220;Julio Antonio Mella&#8221;, Guanabacoa, 2016-2017]]></article-title>
<article-title xml:lang="en"><![CDATA[Gaps in the care of hypertensive people in "Julio Antonio Mella" Polyclinic, Guanabacoa (2016-2017)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Piñera]]></surname>
<given-names><![CDATA[Addys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Salvá]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Sánchez]]></surname>
<given-names><![CDATA[Milenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado Cantillo]]></surname>
<given-names><![CDATA[Geominia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Gonzales]]></surname>
<given-names><![CDATA[Lisbeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Mesa]]></surname>
<given-names><![CDATA[Nelsy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Higiene, Epidemiología y Microbiología  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Municipal de Higiene y Epidemiologia de Guanabacoa  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Quirúrgico Joaquín Albarrán  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662020000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662020000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662020000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Para lograr el control de la hipertensión arterial se requiere de la vigilancia de sus factores de riesgo, del manejo integral de la enfermedad y la eliminación de brechas que atentan contra la calidad del proceso de atención.  Objetivo:  Identificar las principales brechas que afectan el proceso de atención de las personas hipertensas en un área de salud del municipio Guanabacoa durante el periodo 2016-2017.  Métodos:  Se realizó una investigación descriptiva transversal, se aplicó un muestreo por conglomerado bietápico. En una primera etapa de los 41 consultorios se seleccionaron 10, y de estos se seleccionaron aleatoriamente las familias, quedando conformada la muestra por 1458 familias. Se entrevistaron 2297 personas mayores de 35 años.  Resultados:  El 42,5 % de los entrevistados tenía antecedentes de hipertensión arterial, el 3,0 % resultó presunto hipertenso, en el 54,5 % no se encontraron evidencias. Existieron dificultades con la atención de estas personas, dado por problemas organizativos, de funcionamiento del sistema y de comportamiento individual. Las principales brechas fueron en el acceso (36,3 %), seguimiento (28,5 %) y control (17,5 %). El 97,6 % tenía indicado tratamiento farmacológico y el 28 % de los no controlados en el momento de la medición de la presión arterial no estaban adheridos.  Conclusiones:  Las brechas relacionadas con el acceso a los servicios de salud, diagnóstico, seguimiento, tratamiento y control de los hipertensos, cuyo elemento común es la no búsqueda de atención, repercute en la calidad de la atención.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  To achieve the control of high blood pressure requires the monitoring of its risk factors, the comprehensive management of the disease and the elimination of gaps that hamper the quality of the care process.  Objective:  Identify the main gaps that affect the care process of hypertensive people in a health area of Guanabacoa municipality during the period 2016-2017.  Methods:  A cross-sectional descriptive research was conducted, and a two-stage conglomerate sampling was applied. In a first stage of the 41 family doctor´s offices, 10 were selected, and of these families were randomly selected, with the sample being made up of 1458 families. 2297 people over 35 years old were interviewed.  Results:  42.5% of the interviewees had a history of high blood pressure, 3.0% were suspected hypertensives, in 54.5% no evidence was found. There were difficulties with the care of these people, given by organizational problems, system functioning and individual behavior. The main gaps were access (36.3%), follow-up (28.5%) and control (17.5%). 97.6% had an indicated drug treatment and 28% of those not controlled at the time of blood pressure measurement were not attached.  Conclusions:  Gaps related to access to health, diagnostic, follow-up, treatment and control services for hypertensive in which the common element is care´s non-seeking have an impact on the quality of care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[brechas en la práctica profesional]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[continuidad de la atención al paciente]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento y adherencia al tratamiento]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[gaps in professional practice]]></kwd>
<kwd lng="en"><![CDATA[accessibility to health services]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[continuity of patient care]]></kwd>
<kwd lng="en"><![CDATA[compliance and adherence to treatment]]></kwd>
</kwd-group>
</article-meta>
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