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Ver términos de la licenciaCabrera-pivaral, Carlos Enrique, et al. (2018). Clinical competence of primary healthcare’ Mexican physicians for osteoporosis’ treatment. Investigación en Educación Médica; Vol. 7 Núm. 27, 2018: Investigación en Educación Médica; 44-51. Recuperado de https://repositorio.unam.mx/contenidos/4118249
Autor(es)
Cabrera-pivaral, Carlos Enrique; Orozco-valerio, María De Jesús; Báez-báez, María Guadalupe Laura; Covarrubias-bermúdez, María De Los Angeles; Zavala-gonzález, Marco Antonio
Tipo
Artículo de Investigación
Área del conocimiento
Medicina y Ciencias de la Salud
Título
Clinical competence of primary healthcare’ Mexican physicians for osteoporosis’ treatment
Fecha
2018-07-05
Resumen
Introduction: In Mexico, at least 21 million people have ;osteoporosis, where it been demonstrated unknowledge ;of this disease in primary healthcare’ physicians, but not ;has been evaluated clinical competencies for your treatment ;by mean of adequate instruments. Objective: Evaluate clinical competence of a primary ;healthcare’ mexican physicians sample for diagnosis and ;treatment of osteoporosis. Method: Cross-sectional study in 5 cluster sample of ;23 family medical units of the Mexican Institute of Social ;Security from Guadalajara’s metropolitan zone, Jalisco, ;Mexico. An instrument was designed and validated for to ;evaluate clinical competence in five dimensions: risk factors ;identification, clinical data identification, diagnostic ;test interpretation, diagnosis integration and therapeutic ;resources utilization; that classified competence level in ;five strata: random defined, very low, low, regular and ;high; with 91% of reliability accord to Kuder-Richardson ; test. Descriptive and no parametric inferential statistics ;was obtained. Results: 144 physicians, 53.5% (n = 76) males and 46.5% ;(n = 68) females. Random defined clinical competence ;16.7% (n = 24), very low 20.8% (n = 30), low 28.5% (n ;= 41), regular 20.8% (n = 30) and high 13.2% (n = 19). ;Statistically significant differences don’t find to compare ;medians between medical units (p = 0.53). ; Conclusions: Improve clinical competence of primary ;healthcare’ physicians for osteoporosis diagnosis and ;treatment is necessary. Intervention studies are required.
Idioma
spa
ISSN
ISSN electrónico: 2007-5057; ISSN impreso: 2007-865X