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10 Médecine à l’acte/médecine au forfait – ANNEXES KCE Reports 85 S
For patients with stable angina, secondary prophylactic treatment : aspirin in the
absence of contraindications (20)
For patients with angina, past 14 months record of prescription or advice to take
aspirin unless record of contraindication or intolerance (12, 16)
% of population with diagnosis of IHD who take aspirin (14, 15)
Aspirin prescribing for people with cardiovascular disease if no contraindication
(7)
The percentage of patients with coronary heart disease with a record in the last
15 months that aspirin, an alternative anti-platelet therapy or an anti-coagulant
is being taken (unless a contraindication or side effects are recorded) (36)
Percentage patiënten met angina pectoris bij wie
thrombocytenaggregatieremmers is voorgeschreven. (26)
Glucose measurable au cabinet par glucomètre, sans facturation
Risk factor recording in previous year for post-MI patients: blood glucose (8)
Patients with CAD should have their blood sugar measured once since diagnosis
(2,3)
For patients with angina, around the time of diagnosis or within 2 months of
diagnosis, record of blood glucose (9)
For patients with stable angina, initial assessement (within 3 months of diagnosis
of angina during past 2 years) : laboratory test for blood glucose (20)
Ces indicateurs : dépendent surtout du spécialiste. De plus la réhabilitation peut être prise
en charge en kinésithérapie, non facturé au forfait.
Cardiac rehabilitation for post MI patients: target standard: implicit 100% those
eligible (8)
Prescribing at 1-year post discharge for patients with MI or angina: rehabilitation
referral (8)
If a person person age 75 or older has had a recent myocardial infarction or
recent coronary bypass graft surgery, then he or she should be offered a
cardiac rehabilitation (35)
If a vulnerable elder has had a recent myocardial infarction or recent coronary
bypass graft surgery, then he or she should be offered a cardiac rehabilitation
(37)
If a person age 75 or over (a vulnerable elder) has an acute myocardial infarction
or unstable angina, did not undergo angiography, and does not have
contraindications to revascularisation, then he or she should be offered non
invasive stress testing 4-21 days after the infarction or anginal event. (35,37)
L’étude 32 proposait des critères d’inclusion des patients trop spécifiques et non applicables
dans le cadre de notre recherche. Nous n’avons donc pas pu retenir les indicateurs qu’elle
présentait.