Background:

blood hypertension is the first cause of worldwide cardiovascular morbidity and mortality. Nevertheless, it is a poorly controlled disease, largely because health care systems are oriented to the attention of acute diseases. The Argentine Ministry of Health proposed a new care model for hypertensive patients called MAPEC, based on the Chronic Care Model.

Objective:

to evaluate the impact made by the implementation of MAPEC to improve the blood pressure control, the treatment adherence and changes in life style, and disease awareness, in three primary health centers of Salta city Argentine.

Methods:

the blood pressure was measured with automated device, Batalla and Morisky-Green-Levine were used to evaluate the disease awareness and treatment adherence, respectively.

Results:

232 patients were included. After model implementation, significant difference (p<0,0001) were found in blood pressure control, disease awareness, treatment adherence and changes in life style. There was a decrease in blood pressure average with reduction of 12,97 (IC 95: 9,52-16,42) mm Hg and 6,93 (IC 95: 4,70-9,16) mm Hg in sistolic and diastolic pressure, respectively.

Conclusions:

there was evident improvement in the analyzed health parameters after MAPEC implementation. This can be easily adapted for primary health centers and with low cost. This is in order with WHO 25×25 target to reduce 25% cardiovascular premature deaths in 2025.

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