Model for comprehensive management of patients and family members with noncommunicable diseases.

Abstract

Introduction. Non-communicable diseases associated with diet are preventable and manageable with comprehensive pharmacological and non-pharmacological treatment. However, in Tabasco, as in Mexico, and many countries, these diseases increase in prevalence, as well as the severity of their complications and increase the lability of patients to others such as covid-19, in a syndemic. This is why projects are needed to promote this comprehensive care. Methods. It is a descriptive, cross-sectional investigation for the elaboration of the strategic planning of a High Specialty Hospital oriented to non-communicable diseases. A diagnosis was made in a first stage from which a proposal was elaborated. Results. The diagnosis showed that medical graduates need to learn how to be leaders to accompany their patients to the achievement of treatment goals. A comprehensive care project was designed. It consists of services for the acceptance of the disease, education for a healthy lifestyle, learning for the selection of dishes and products for sustainability, supported by a collection of videos and podcasts prepared for this project, as well as follow-up to keep the patients and their families in the service. Indicators were developed according to results. Conclusions. The construction of a comprehensive management of patients to reduce progression, the number of patients and prevent secondary and tertiary organic damage, is a priority for the reconfiguration of services.

Keywords. Progression; Prevention; Healthy life style; Social marketing; Leadership