Universal health coverage and accomplishment of secondary prevention goals among patients with acute myocardial infarction Prevención secundaria post infarto agudo de miocardio en hospitales públicos: Implementación y resultados de las garantías ges
Author
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Nazzal, Carolina
Author
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Lanas, Fernando
Author
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Garmendia, María Luisa
Author
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Bugueño, Claudio
Author
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Mercadal, Enrique
Author
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Garcés, Eduardo
Author
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Yovaniniz, Patricio
Author
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Sanhueza, Patricio
Admission date
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2019-03-15T16:05:55Z
Available date
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2019-03-15T16:05:55Z
Publication date
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2013
Cita de ítem
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Revista Medica de Chile, Volumen 141, Issue 8, 2018, Pages 977-986
Identifier
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00349887
Identifier
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07176163
Identifier
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10.4067/S0034-98872013000800003
Identifier
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https://repositorio.uchile.cl/handle/2250/166073
Abstract
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Background: In 2005, acute myocardial infarction (AMI) was included in a universal health plan (GES) to reduce inequity in care and optimize its diagnosis and treatment. Aim: To evaluate the effect of GES in risk factor control and therapeutic management among patients with AMI. Material and Methods: A survey was conducted in 2008-2009 in six public hospitals. Patients were identified from a hospital based registry of AMI and evaluated one year later with laboratory tests and an interview. Results: The registry enrolled 534 patients with ST and non ST segment elevation myocardial infarction. Of these, 416 patients aged 63 ± 12 years (25% women) were evaluated one year later. Eighty three percent were evaluated by a cardiologist and 37% by a general practitioner. Twenty two percent were evaluated by a nurse and 22% by a nutritionist. At the moment of the interview, 9% smoked, 78% were overweight or obese, 24% performed moderate or vigorous physical activity ≥ 150 min/week, 60% had systo
Universal health coverage and accomplishment of secondary prevention goals among patients with acute myocardial infarction Prevención secundaria post infarto agudo de miocardio en hospitales públicos: Implementación y resultados de las garantías ges