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Abordagem da dislipidemia em medicina geral e familiar : avaliação de atitudes e conhecimentos no sentido da capacitação
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As doenças cardiovasculares são a principal causa de morte em Portugal, envolvendo directa e indirectamente elevados custos económicos. A hipercolesterolemia, um dos principais factores de risco modificáveis de doença aterosclerótica, afecta aproximadamente metade da população com idade entre os 18 e os 75 anos, tornando-se assim premente definir estratégias no sentido de diminuir as falhas na detecção precoce e tratamento adequado das dislipidemias. Com este objectivo, foi elaborado um inquérito para avaliar a abordagem das dislipidemias pelos médicos de Medicina Geral e Familiar, com foco em vários parâmetros: as características do médico; os obstáculos ao alcance dos objectivos; a utilidade das ferramentas de apoio; as atitudes na aplicação das Normas de Orientação Clínica (NOCs) na prática; e a modificação dos estilos de vida. Pretende-se que o inquérito seja testado para futura aplicação nos vários ACES do país, para elaborar diferentes estratégias com o objectivo de melhorar os outcomes em saúde dos doentes com dislipidemia, como por exemplo elaborar guias práticos, algoritmos intuitivos e formações direccionadas aos principais pontos em falha em cada USF/UCSP, no sentido de proporcionar à nossa população os melhores cuidados que existem a cada momento, numa abordagem construtiva ao encontro de um constante crescimento dos profissionais de saúde e da própria comunidade.
Cardiovascular diseases are the leading cause of death in Portugal, involving direct and indirect high economic costs. Hypercholesterolemia, one of the major modifiable risk factors for atherosclerotic disease, affects approximately half of the population aged between 18 and 75 years, it becomes urgent to define strategies to reduce gaps in early detection and treatment of dyslipidemias. For this purpose, a survey was designed to assess the approach of dyslipidemias by Family Medicine doctors, focused on several parameters: physician characteristics; obstacles to achieve the objectives; the usefulness of supporting tools; attitudes in applying the guidelines in clinical practice; and the modification of lifestyles. The survey is intended to be tested for future application in several ACES, to develop different strategies in order to improve the outcomes in health of patients with dyslipidaemia, such as drawing up practical guides, intuitive algorithms and delievering trainings directed to the main points in failure in each USF/UCSP, to give people the best healthcare, in a constructive approach to meet a steady growth of the health professionals and the community.
Cardiovascular diseases are the leading cause of death in Portugal, involving direct and indirect high economic costs. Hypercholesterolemia, one of the major modifiable risk factors for atherosclerotic disease, affects approximately half of the population aged between 18 and 75 years, it becomes urgent to define strategies to reduce gaps in early detection and treatment of dyslipidemias. For this purpose, a survey was designed to assess the approach of dyslipidemias by Family Medicine doctors, focused on several parameters: physician characteristics; obstacles to achieve the objectives; the usefulness of supporting tools; attitudes in applying the guidelines in clinical practice; and the modification of lifestyles. The survey is intended to be tested for future application in several ACES, to develop different strategies in order to improve the outcomes in health of patients with dyslipidaemia, such as drawing up practical guides, intuitive algorithms and delievering trainings directed to the main points in failure in each USF/UCSP, to give people the best healthcare, in a constructive approach to meet a steady growth of the health professionals and the community.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2016
Palavras-chave
Dislipidemias Cuidados de saúde primários Conhecimentos, atitudes e prática em saúde