Abstract

MARTIRE1, Víctor; DIEZ1, Emilio Pis; PORTILLO, Daniel  and  MARTIRE, María V.. La aplicación de planificación estratégica y de herramientas genéricas ISO 9001: 2008 en el control integral de los factores de riesgo para enfermedad cardiovascular determinan una mayor tasa de éxito a largo plazo. Rev.Urug.Cardiol. [online]. 2014, vol.29, n.3, pp.317-327. ISSN 1688-0420.

Summary  The application of strategic planning and generic tools ISO 9001:2008 in the integral control of risk factors for cardiovascular disease, improve efficiency and efficacy of administrative and care processes. Background: adequate strategic planning (SP) and the use of generic tools of ISO 9001:2008, applied in medicine has been shown to improve the effectiveness and efficiency of processes, both in administrative areas such as healthcare. Objective: to achieve and sustain over time the integral control of risk factors for cardiovascular disease (CVRF), implementing and applying a tracking process (TPP) and evaluating their response for a period of 3 years in high clinical risk patients, compared with standard management known so far. Methods: 310 patients with multiple CVRF began the monitoring program (192 men and 118 women, aged 59 ± 11 years , 206 in primary prevention and 104 in secondary), were randomly divided into two groups according to the tracking system Group 1 (n = 160 : TPP) and Group 2 (n = 150, follow criteria of professional assistants). The SP in terms of time and deadlines previously studied using Gantt chart, the first year in 4 quarters, second and third year of 2 semesters each, and deployment tool real event PERT (program evaluation and technique review) , the comparative results between the two groups were evaluated, taking aim quality, integrated control and sustained CVRF. T test for paired data, with the level of rejection of null hypothesis: p: < 0.05. Results: 294 patients (95%) completed follow-up to 3 years, managed to achieve and maintain control targets planned: for Group 1: 58%, 56% and 55%, for Group 2 : 32%, 28% and 25% for each year respectively (p: <0.01). Conclusion: the implementation and maintenance of quality objectives through strategic planning and use of generic management tools ISO 9001:2008 , achieved long-term success rate in the comprehensive control of CVRF.

Keywords : RISK FACTORS; ATHEROSCLEROSIS; FOLLOW UP STUDIES; EPIDEMIOLOGY.

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