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1.
Rev. clín. esp. (Ed. impr.) ; 222(8): 496-499, oct. 2022.
Artigo em Espanhol | IBECS | ID: ibc-209988

RESUMO

La heterogeneidad de la población de edad avanzada con DM tipo 2 (DM2) supone un reto importante para los profesionales de la salud. La elección del régimen terapéutico debe ser individualizada, considerando el estado funcional, la fragilidad y las comorbilidades, así como las preferencias del paciente y sus cuidadores. La nueva evidencia sobre la protección cardiovascular y renal de determinados grupos terapéuticos, así como la utilidad de nuevas tecnologías en el manejo de la DM2, entre otros aspectos, hace necesaria una actualización del documento de consenso sobre la DM2 en el paciente anciano que se publicó en 2018 (AU)


The population with type 2 DM (DM2) is highly heterogeneous, representing an important challenge for healthcare professionals. The therapeutic choice should be individualized, considering the functional status, frailty, the occurrence of comorbidities, and the preferences of patients and their caregivers. New evidence on the cardiovascular and renal protection of specific therapeutic groups and on the usefulness of new technologies for DM2 management, among other aspects, warrant an update of the consensus document on the DM2 in the elderly that was published in 2018 (AU)


Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Diabetes Mellitus Tipo 2/terapia , Serviços de Saúde para Idosos , Idoso Fragilizado , Saúde do Idoso , Sociedades Médicas , Espanha
2.
Rev Clin Esp (Barc) ; 222(8): 496-499, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35753941

RESUMO

The population with type 2 DM (DM2) is highly heterogeneous, representing an important challenge for healthcare professionals. The therapeutic choice should be individualized, considering the functional status, frailty, the occurrence of comorbidities, and the preferences of patients and their caregivers. New evidence on the cardiovascular and renal protection of specific therapeutic groups and on the usefulness of new technologies for DM2 management, among other aspects, warrant an update of the consensus document on the DM2 in the elderly that was published in 2018.


Assuntos
Diabetes Mellitus Tipo 2 , Diabetes Mellitus , Fragilidade , Idoso , Comorbidade , Consenso , Diabetes Mellitus Tipo 2/tratamento farmacológico , Idoso Fragilizado , Fragilidade/terapia , Humanos
3.
Rev. calid. asist ; 32(4): 234-239, jul.-ago. 2017. ilus
Artigo em Espanhol | IBECS | ID: ibc-164253

RESUMO

Un proceso asistencial integrado (PAI) es una herramienta cuyo propósito es aumentar la efectividad de las actuaciones clínicas a través de una mayor coordinación y garantía de continuidad asistencial. Los PAI sitúan al paciente como el eje central de la organización asistencial. Se definen como el conjunto de actividades que realizan los proveedores de la atención sanitaria con la finalidad de incrementar el nivel de salud y el grado de satisfacción de la población que recibe los servicios. La elaboración de un PAI precisa analizar el flujo de actividades, la interrelación entre profesionales y dispositivos asistenciales y las expectativas del paciente. En este artículo se presenta y se discute la metodología para la elaboración de un PAI, así como los factores de éxito para su definición y su efectiva implantación. Se explica también, a modo de ejemplo, el reciente PAI para hipoglucemias en personas con diabetes mellitus tipo 2 elaborado por un equipo multidisciplinar y avalado por varias sociedades científicas (AU)


An Integrated Healthcare Pathway (PAI) is a tool which has as its aim to increase the effectiveness of clinical performance through greater coordination and to ensure continuity of care. PAI places the patient as the central focus of the organisation of health services. It is defined as the set of activities carried out by the health care providers in order to increase the level of health and satisfaction of the population receiving services. The development of a PAI requires the analysis of the flow of activities, the inter-relationships between professionals and care teams, and patient expectations. The methodology for the development of a PAI is presented and discussed in this article, as well as the success factors for its definition and its effective implementation. It also explains, as an example, the recent PAI for Hypoglycaemia in patients with Type 2 Diabetes Mellitus developed by a multidisciplinary team and supported by several scientific societies (AU)


Assuntos
Humanos , Terapias Complementares/organização & administração , Terapias Complementares/normas , Assistência ao Paciente/normas , Hipoglicemia/diagnóstico , Hipoglicemia/terapia , Diabetes Mellitus Tipo 2/epidemiologia , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Garantia da Qualidade dos Cuidados de Saúde/normas , Diabetes Mellitus Tipo 2/prevenção & controle , Protocolos Clínicos
4.
Rev Calid Asist ; 32(4): 234-239, 2017.
Artigo em Espanhol | MEDLINE | ID: mdl-28283260

RESUMO

An Integrated Healthcare Pathway (PAI) is a tool which has as its aim to increase the effectiveness of clinical performance through greater coordination and to ensure continuity of care. PAI places the patient as the central focus of the organisation of health services. It is defined as the set of activities carried out by the health care providers in order to increase the level of health and satisfaction of the population receiving services. The development of a PAI requires the analysis of the flow of activities, the inter-relationships between professionals and care teams, and patient expectations. The methodology for the development of a PAI is presented and discussed in this article, as well as the success factors for its definition and its effective implementation. It also explains, as an example, the recent PAI for Hypoglycaemia in patients with Type 2 Diabetes Mellitus developed by a multidisciplinary team and supported by several scientific societies.


Assuntos
Procedimentos Clínicos , Prestação Integrada de Cuidados de Saúde/métodos , Diabetes Mellitus Tipo 2/complicações , Humanos , Hipoglicemia/etiologia , Hipoglicemia/terapia , Espanha
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