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Quaternary prevention in the Cardiovascular Health Program Rational use of complementary exams: A narrative review
Indexado
WoS WOS:001267012100009
Scopus SCOPUS_ID:85204167810
SciELO S0034-98872024000100088
DOI
Año 2024
Tipo revisión

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Introduction: The Cardiovascular Health Program (PSCV), founded by the Ministry of Health of Chile (Minsal), is focused on the global cardiovascular risk of people with the purpose of preventing and reducing morbidity, disability and premature death caused by cardiovascular diseases, in congruence with its sanitary aims. Quaternary Prevention is defined as "actions taken to protect individuals from medical interventions that are likely to cause more harm than good". The PSVC's 2017 technical guidelines establish a battery of 11 complementary exams to request upon entering the program, however, neither the scientific evidence that supports them nor the periodicity of their request was mentioned. The aim of this revision is to evaluate the rationality of exams request, based on updated evidence, as a strategy for quaternary prevention and potential economic savings for the sanitary system. Methods: A narrative review was conducted through searches on databases, updated clinical guidelines and international recommendations about 11 complementary exams on the follow-up of Type 2 Diabetes and Hypertension. Results: Based on the data analysis, recommendations were made according to the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. Conclusion: It was concluded that the costs of widely requested complementary exams could be reduced through a more efficient management guided by updated evidence. Our proposal entails changes in some processes and in the evaluation of fulfillment of the PSCV, as well as a deeper cost-effectiveness analysis of the recommendations in order to optimize the management of resources in primary health care.

Revista



Revista ISSN
Revista Médica De Chile 0034-9887

Disciplinas de Investigación



WOS
Medicine, General & Internal
Scopus
Medicine (All)
SciELO
Health Sciences

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Plaza, Martin - Universidad de Los Andes, Chile - Chile
2 Dabed, Francisco - Universidad de Los Andes, Chile - Chile
2 Càceres, Francisca Dabed - Universidad de Los Andes, Chile - Chile
2 Dabed, Francisca - Universidad de Los Andes, Chile - Chile
3 Manzanares, Sebastian - Universidad de Los Andes, Chile - Chile
4 Lenz R, Sebastian - Pontificia Universidad Católica de Chile - Chile
4 Sebastián Lenz, R. - Pontificia Universidad Católica de Chile - Chile

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Financiamiento



Fuente
Sin Información

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Agradecimientos



Agradecimiento
Sin Información

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