Aptitud clínica para atender complicaciones tardías de la diabetes

del Socorro Muro-Lemus, Elvia Magdalena; Jiménez-Vázquez, María Marcela
March 2009
Revista Medica del IMSS;mar/abr2009, Vol. 47 Issue 2, p141
Academic Journal
Background: the lack of medical education is the main factor that contributes to cause late complications in diabetes mellitus (DMC). Our objective was to determine the clinical skills of family physicians to prevent, diagnosis and treat late DMC. Methods: a comparative cross-sectional study was made. To know the level of the clinical skill in family physicians treating late DMC. The study was based on a comparison between years of experience and recognition of indicators. An instrument was constructed and validated. It was conformed by three clinical cases and 184 items; the study obtained acceptable rates of reliability through three statistical tests. It was applied to 189 family specialized physicians through a census. Results: most of the physicians (73.5 %) were located at primary care level. There were statistically significant differences among the four zones of attention (p = 0.0001 Kruskal-Wallis), and among their years of experience (p = 0.0001 Kruskal-Wallis) and among who had or did not have private medical practice (p = 0.05 of Mann-Whitney). Conclusions: the clinical aptitude of the family physicians studied is low. The results are reflecting the model of education that predominates.


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