{"id":"9b5e12e2006a","type":"article","url":"https://hartvaat.nl/2026/12/01/lage-richtlijnconformiteit-en-zorgcontinuiteit-bij-hypertensie-in-uruguay/","title":"Lage richtlijnconformiteit en zorgcontinuïteit bij hypertensie in Uruguay","title_en":"Health system competence and care continuity in patients with hypertension: electronic cohort in Uruguay.","category":"hypertensie","category_label":"Hypertensie","professions":["huisarts","internist"],"tags":[],"journal":"Blood pressure","doi":"10.1080/08037051.2026.2702689","source_url":"https://doi.org/10.1080/08037051.2026.2702689","authors":["Marina Guglielmino","Javier Roberti","Agustina Mazzoni","Carolina Prado","Laura Gutiérrez","Candela Stella","Emilse Vitar","Jacqueline Ponzo","Natalia Cristoforone","Hannah Leslie","Vilma Irazola","Ezequiel García-Elorrio"],"significance":3,"published":"2026-08-17","source_date":"2026-12-01","image":"","kennis":["https://hartvaat.nl/kennis/hypertensie/esc-richtlijn-hypertensie-2024/","https://hartvaat.nl/kennis/farmacologie/betablokkers-cardiale-indicaties/"],"congress":"","summary_en":"A longitudinal cohort study of 200 adults in Uruguay reveals that only 42% had controlled blood pressure at baseline and merely 11.5% received all guideline-recommended interventions. Overall blood pressure control reached 34.4%, with notably lower continuity of care and guideline adherence among newly diagnosed patients. These findings highlight systemic gaps in hypertension management and underscore the need for structured follow-up and quality improvement initiatives in primary care settings.","created":"2026-08-11T00:51:53Z","updated":"2026-08-11T00:51:53Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Een longitudinale cohortstudie (n=200) in Uruguay toont aan dat slechts 42% van de hypertensiepatiënten op baseline een gecontroleerde bloeddruk had en maar liefst 88,5% niet alle richtlijnadviezen volgde. Alleen 34,4% bereikte uiteindelijk een gecontroleerde bloeddruk, terwijl de zorgcontinuïteit en patiënttevredenheid beperkt waren. Deze bevindingen onderstrepen de behoefte aan verbeterde zorgstructuren en betere follow-up, met name voor nieuw gediagnosticeerde patiënten.","abstract_original":"BACKGROUND: Despite efforts to improve hypertension management, control rates remain low. Effective control depends on care competence and continuity. We describe health system competence, care continuity, user experience, and health and economic outcomes among individuals with hypertension in Uruguay. METHODS: This longitudinal study of randomly selected 200 adults aged ≥35 years with baseline blood pressure >140/90 mmHg and mobile phone access from the CESCAS 2010 cohort.. . Over eight months, participants completed baseline, six telephone follow-up, and a final surveys documenting health status, health system competence, care continuity, patient activation, user experience, and health and economic outcomes. RESULTS: Mean age was 64.9 (9.7) years; 77% reported 'Excellent/Very good' health. Overall, 79.5% knew they had hypertension and were on treatment; 42.0% of the total sample had controlled blood pressure at baseline. Only 11.5% received all guideline-recommended clinical interventions. Regardless of coverage, 60.8% usually attended a primary care facility. Although 93.5% had at least one visit in 8 months, only 48.8% of newly diagnosed participants completed the three recommended visits. In all, 57.1% received care from the same professional in the same facility. Blood pressure control was achieved by 34.4% of those with known hypertension and 19.5% of newly diagnosed participants. Only 49% reported timely appointments availability. Patient activation was 70.5%, and 68.9% reported autonomy in decision-making. CONCLUSION: The low proportion of individuals receiving continuous, competent care, particularly among those newly diagnosed, underscores the need for targeted interventions to improve care quality."}